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European Journal of Echocardiography 2007 8(6):505-506; doi:10.1016/j.euje.2006.08.005
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Copyright © 2007, The European Society of Cardiology

Intracardiac echocardiography to guide myocardial biopsy of a primary cardiac tumour

Andrew R.J. Mitchell*, Jonathan Timperley, Lucy Hudsmith, Stefan Neubauer and Yaver Bashir

Department of Cardiology, John Radcliffe Hospital, Oxford, United Kingdom

Received 4 May 2006; received in revised form 14 August 2006; accepted after revision 20 August 2006.

* Corresponding author. Department of Cardiac Rhythm Management, John Radcliffe Hospital, Headington, Oxford OX3 9DU, United Kingdom. Tel.: +44 1865 220981; fax: +44 1865 221432. mitcharj{at}doctors.org.uk


  Abstract

A 61-year-old man presented with recurrent ventricular tachycardia (left bundle branch block morphology, superior axis). Magnetic resonance imaging (Fig. 1) and contrast-enhanced transthoracic echocardiography (Fig. 2) demonstrated an ill-defined mass in the right heart along the free wall of the right atrium, involving the tricuspid valve and extending into the right ventricle. Extensive investigation showed no evidence of extra-cardiac involvement and a tissue diagnosis was recommended. Accordingly, we elected to proceed to myocardial biopsy and, to facilitate accurate tissue localisation, we performed the procedure under guidance with intracardiac echocardiography.

Keywords: Intracardiac echocardiography; Biopsy; Primary cardiac tumour


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