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European Journal of Echocardiography 2008 9(2):286-288; doi:10.1016/j.euje.2006.09.001
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Published on behalf of the European Society of Cardiography. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Two-dimensional and three-dimensional transthoracic echocardiography in surgical planning for right atrial metastatic melanoma

James J.H. Chong1, David A. Richards2, Richard Chard2, Tanya McKay1 and Liza Thomas2,*

1 Westmead Hospital, Sydney, Australia
2 University of Sydney/Westmead Hospital, Sydney, Australia

Received 1 August 2006; accepted after revision 13 September 2006; online publish-ahead-of-print 7 November 2007.

* Corresponding author: Department of Cardiology, Westmead Hospital, Darcy Road, Westmead, 2145 NSW, Sydney, Australia. Tel: +61 2 98456795; fax: +61 2 98458323. E-mail address: lizat{at}westgate.wh.usyd.edu.au (L. Thomas).


  Abstract

Melanoma is the most common form of cardiac metastases. Surgical excision has been shown to be an effective palliative measure. This requires detailed definition of cardiac anatomy in relation to the tumour. Two-dimensional (2D), three-dimensional (3D) transthoracic (TTE) and transoesophageal echocardiography (TEE), spiral computerised tomography (CT) and magnetic resonance imaging (MRI) have all been described in aiding surgical planning for excision of cardiac tumours. In this case report, 3D-TTE provided excellent anatomical definition for surgical planning of a large right atrial melanoma precluding the need for more invasive and expensive investigations.

Keywords: Atrial melanoma; Atrial tumour; Three-dimensional echocardiography


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