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Tsukasa Oshima
Tsukasa Oshima
Joined Aug 2022

Public Documents 1
Myxoma detected by intracardiac echocardiography during pulmonary vein isolation
Tsukasa Oshima
Yu Shimizu

Tsukasa Oshima

and 6 more

August 09, 2022
A 61-year-old woman with a low thromboembolic risk was scheduled to undergo pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation. Transthoracic echocardiography showed no cardiac structural abnormality. Intracardiac echocardiography (ICE) identified a small left atrium mass attached to the atrial septum and the procedure was stopped before the transseptal puncture; the surgically resected tumor was cardiac myxoma. ICE is a reliable imaging modality to exclude left atrial thrombus. However, unusual and unexpected cardiac structures also prevent performing PVI, which pre-procedural transesophageal echocardiography could identify. Imaging options should be further discussed to improve patient care and safety.
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