Left Atrial Masses: Now You See Them, Now You Don't

Abstract

Left atrial masses are rare but clinically significant findings, which can present as diverse pathological entities, including primary tumors, thrombi, and metastases. Their diverse pathological entities contribute to a wide range of clinical manifestations, often presenting with nonspecific symptoms that pose challenges for early diagnosis. Within the realm of medicine, unique presentations emphasize the intricate interplay between the size, location, and functional impact of pathological processes. They serve as reminders to healthcare providers to approach each patient as an individual, recognizing that even seemingly minor abnormalities can have significant consequences. To illustrate this, we present two distinct cases of patients with left atrial masses, showcasing the importance of clinical suspicion and a wide knowledge base in identifying and managing these conditions effectively.

Keywords: atrial fibrillation; cardiac; left atrial mass; myxoma; thrombus.

Figure 1. Left atrial filling defect noted on CT abdomen pelvis

Figure 2. Transthoracic echo with left atrial mass

Figure 3. Transthoracic echo with left atrial mass

Figure 4. Repeat transthoracic echo without the left atrial mass