Intraoperative Transesophageal Echocardiography Diagnosis of a Left Ventricular False Tendon Mimicking a Left Ventricular Mass: A Case Report

JOURNAL TITLE: Journal of Perioperative Echocardiography

Author
1. Gurpinder S Ghotra
2. Ankur Joshi
3. Bhargava V Devarakonda
4. Alok Kumar
ISSN
2320-527X
DOI
10.5005/jp-journals-10034-1135
Volume
9
Issue
2
Publishing Year
2021
Pages
3
Author Affiliations
    1. Department of Anesthesia and Intensive Care, Army Hospital (Research and Referral), Delhi, India
    1. Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
    1. Department of Anaesthesiology & Critical Care, Armed Forces Medical College, Pune, Maharashtra, India
    1. Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  • Article keywords
    Cardiac mass, Case report, Left ventricular false tendon, Transesophageal echocardiography, Transthoracic echocardiography

    Abstract

    Background: Left ventricle false tendons (LVFTs) are discrete and relatively rare, fibromuscular structures of varying length and thickness that traverse the left ventricle (LV) cavity. Routine transthoracic echocardiography (TTE) is the commonly used diagnostic technique to diagnose and evaluate LVFT. Case description: Thickened LVFT not oriented in either longitudinal or transverse fashion was misdiagnosed as a case of LV mass on two-dimensional (2D) echo and cardiac magnetic resonance index (MRI) in a young patient. He was listed for excisional surgery. Preoperative transesophageal echocardiography (TEE) revealed it to be LVFT and the surgery could be averted. Conclusion: Though TTE and cardiac MRI are the commonly used diagnostic techniques to diagnose and evaluate cardiac masses, TEE provides superior image resolution and better visualization of cardiac masses.

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