An Unusual Left Ventricular Apical Mass

Abstract

Left ventricular apical masses constitute a rare finding. Imaging properties together with the clinical history of the patient usually allow an etiologic definition. We report a challenging case of an ambiguous left ventricular apical mass of uncertain nature till histological examination. Points of interest were singular clinical history and echocardiographic findings, although not conclusive in hypothesis generating. Furthermore to the best of our knowledge, this is one of the rare attempt to excise a deep left ventricular mass with a mini-invasive surgical approach.

Keywords: Echocardiography; left ventricular mass; mini-invasive excision; multimodality diagnosis.

Figure 1

(a) Apical four chamber view. (b) Parasternal short axis view at the apical level. (c) Trans-mitral mass view deep in left ventricular apex through right thorax HeartPort approach. (d) Excised white apical mass with its narrow stalk