Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest
Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrate...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Jackson, Clare M. [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Anmerkung: |
© The authors 2015 |
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| Übergeordnetes Werk: |
volume:2 ; year:2015 ; number:2 ; day:01 ; month:06 ; pages:K29-K32 |
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| Links: |
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| DOI / URN: |
10.1530/ERP-14-0106 |
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SPR050505742 |
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| 520 | |a Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. | ||
| 700 | 1 | |a Ellis, Helen E. |4 aut | |
| 700 | 1 | |a Dodd, Mark C. |4 aut | |
| 700 | 1 | |a O’Toole, Laurence |4 aut | |
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10.1530/ERP-14-0106 doi (DE-627)SPR050505742 (SPR)ERP-14-0106-e DE-627 ger DE-627 rakwb eng Jackson, Clare M. verfasserin aut Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The authors 2015 Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. Ellis, Helen E. aut Dodd, Mark C. aut O’Toole, Laurence aut Enthalten in Echo Research & Practice BioMed Central 2(2015), 2 vom: 01. Juni, Seite K29-K32 (SID)44156 volume:2 year:2015 number:2 day:01 month:06 pages:K29-K32 https://dx.doi.org/10.1530/ERP-14-0106 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 2 2015 2 01 06 K29-K32 |
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10.1530/ERP-14-0106 doi (DE-627)SPR050505742 (SPR)ERP-14-0106-e DE-627 ger DE-627 rakwb eng Jackson, Clare M. verfasserin aut Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The authors 2015 Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. Ellis, Helen E. aut Dodd, Mark C. aut O’Toole, Laurence aut Enthalten in Echo Research & Practice BioMed Central 2(2015), 2 vom: 01. Juni, Seite K29-K32 (SID)44156 volume:2 year:2015 number:2 day:01 month:06 pages:K29-K32 https://dx.doi.org/10.1530/ERP-14-0106 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 2 2015 2 01 06 K29-K32 |
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10.1530/ERP-14-0106 doi (DE-627)SPR050505742 (SPR)ERP-14-0106-e DE-627 ger DE-627 rakwb eng Jackson, Clare M. verfasserin aut Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The authors 2015 Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. Ellis, Helen E. aut Dodd, Mark C. aut O’Toole, Laurence aut Enthalten in Echo Research & Practice BioMed Central 2(2015), 2 vom: 01. Juni, Seite K29-K32 (SID)44156 volume:2 year:2015 number:2 day:01 month:06 pages:K29-K32 https://dx.doi.org/10.1530/ERP-14-0106 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 2 2015 2 01 06 K29-K32 |
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10.1530/ERP-14-0106 doi (DE-627)SPR050505742 (SPR)ERP-14-0106-e DE-627 ger DE-627 rakwb eng Jackson, Clare M. verfasserin aut Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The authors 2015 Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. Ellis, Helen E. aut Dodd, Mark C. aut O’Toole, Laurence aut Enthalten in Echo Research & Practice BioMed Central 2(2015), 2 vom: 01. Juni, Seite K29-K32 (SID)44156 volume:2 year:2015 number:2 day:01 month:06 pages:K29-K32 https://dx.doi.org/10.1530/ERP-14-0106 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 2 2015 2 01 06 K29-K32 |
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10.1530/ERP-14-0106 doi (DE-627)SPR050505742 (SPR)ERP-14-0106-e DE-627 ger DE-627 rakwb eng Jackson, Clare M. verfasserin aut Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The authors 2015 Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. Ellis, Helen E. aut Dodd, Mark C. aut O’Toole, Laurence aut Enthalten in Echo Research & Practice BioMed Central 2(2015), 2 vom: 01. Juni, Seite K29-K32 (SID)44156 volume:2 year:2015 number:2 day:01 month:06 pages:K29-K32 https://dx.doi.org/10.1530/ERP-14-0106 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 2 2015 2 01 06 K29-K32 |
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large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest |
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Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest |
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Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. © The authors 2015 |
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Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. © The authors 2015 |
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Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. © The authors 2015 |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">SPR050505742</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230507183425.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230507s2015 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1530/ERP-14-0106</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR050505742</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)ERP-14-0106-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Jackson, Clare M.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2015</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The authors 2015</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction.</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Ellis, Helen E.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Dodd, Mark C.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">O’Toole, Laurence</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Echo Research & Practice</subfield><subfield code="d">BioMed Central</subfield><subfield code="g">2(2015), 2 vom: 01. Juni, Seite K29-K32</subfield><subfield code="w">(SID)44156</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:2</subfield><subfield code="g">year:2015</subfield><subfield code="g">number:2</subfield><subfield code="g">day:01</subfield><subfield code="g">month:06</subfield><subfield code="g">pages:K29-K32</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://dx.doi.org/10.1530/ERP-14-0106</subfield><subfield code="z">kostenfrei</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_SPRINGER</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">2</subfield><subfield code="j">2015</subfield><subfield code="e">2</subfield><subfield code="b">01</subfield><subfield code="c">06</subfield><subfield code="h">K29-K32</subfield></datafield></record></collection>
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