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Address reprint requests to Himani Bhatt, DO, MPA, Department of Anesthesiology, Mount Sinai Medical Center, One Gustave L. Levy Place, PO Box 1010, New York, NY 10029-6574.
A 45-YEAR-OLD WOMAN with past medical history significant for hypertension, asthma,
and anemia was admitted to the authors' institution with complaint of dyspnea on exertion.
A preoperative transthoracic echocardiogram showed moderate-to-severe aortic regurgitation,
mild dilatation of the sinus of valsalva and ascending aorta and mild decrease in
left ventricular function with an ejection fraction equal to 48%. The patient was
scheduled for an aortic valve replacement and possible aortic root replacement. After
induction of anesthesia, a transesophageal echocardiogram was performed and demonstrated
severe aortic regurgitation secondary to annular dilatation, mild dilatation of the
aortic root/ascending aorta, and mild mitral regurgitation. A small mass (Fig 1) was seen in the left atrium. What is the diagnosis?
Fig 1A midesophageal long-axis TEE image demonstrating a small mass in the left atrium
adjacent to the mitral valve. (Color version of figure is available online.)
