Sağ Ventrikül Çıkış Yolu ve Ana Pulmoner Artere Bası Yapan Dev Kitle
Huge Mass Compressing To Rvot and Main Pulmonary Artery
MD Ugur Canpolat ANKARA TÜRKİYE YÜKSEK İHTİSAS EĞİTİM VE ARAŞTIRMA HASTANESİ TURKEY
Prof Sinan Aydoğdu ANKARA TÜRKİYE YÜKSEK İHTİSAS EĞİTİM VE ARAŞTIRMA HASTANESİ TURKEY
Makale Özeti
Anahtar Kelimeler: Kitle, ekokardiyografi, lenfoma
Manuscript Abstract
Keywords: Mass, echocardiography, lymphoma
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Huge Mass Compressing to RVOT and Main Pulmonary Artery
Sağ Ventrikül Çıkış Yolu ve Ana Pulmoner Artere Bası Yapan Dev Kitle
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Image
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A 24-year-old female presented with atypical chest pain and cough for one month. Also she has involuntary
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weight loss. Examination revaled 2/6 systolic murmur at pulmonary focus. Chest X-ray showed increased
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cardiothoracic index (Fig 1A). Echocardiography demonstrated a huge mass in front of the right ventricle which
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was compressing both RVOT and main pulmonary artery (MPA) and causing 40 mmHg gradient (Fig 1B).
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Thoracic computerized tomography revealed multiple lymphadenopathies, a soft tissue attenuating anterior
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mediastinal extrapericardial mass with smooth margin and diameter of 89x121 mm which surrounding the heart
and compressing right ventricle outflow tract (RVOT) and MPA (Fig 1C). Lymph node biopsy showed Hodgkin
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lymphoma and patient referred to the oncology department.
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Figure Legends
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Figure 1. (A) Chest radiography revealed increased cardiothoracic index. (B) Transthoracic echocardiography
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showed a mass which was causing external compression of RVOT and main pulmonary artery at parasternal
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short-axis view. (C) Thoracic computerized tomography confirmed the diagnosis of mass which located at
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anterior mediastinum and causing RVOT and pulmonary artery compression.
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Figure 1

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