All that Doesn't Enhance Isn't a Thrombus: Pitfalls Using Cardiac MRI TI 600 Sequence to Distinguish Between Cardiac Thrombus Versus Myxoma

Aakash D Rana; Srikanth Vallurupalli; Mark Mitchell; David Duncan; Jack Xu

doi:10.14797/mdcvj.1322

All that Doesn't Enhance Isn't a Thrombus: Pitfalls Using Cardiac MRI TI 600 Sequence to Distinguish Between Cardiac Thrombus Versus Myxoma

Methodist Debakey Cardiovasc J. 2024 Apr 10;20(1):23-25. doi: 10.14797/mdcvj.1322. eCollection 2024.

Authors

Aakash D Rana¹, Srikanth Vallurupalli², Mark Mitchell³, David Duncan³, Jack Xu³

Affiliations

¹ Central Arkansas Veteran Affairs Health System, Little Rock, Arkansas, US.
² University of Arkansas for Medical Sciences, Little Rock, Arkansas, US.
³ Novant Health Forsyth Medical Center, Winston-Salem, North Carolina, US.

Abstract

A 51-year-old male with a complicated medical history presented with shortness of breath. Preoperative workup confirmed the presence of a large atrial mass. However, delayed gadolinium enhancement CMR with long inversion time (TI 600) showed lack of enhancement, which was suggestive of a thrombus. During cardiac magnetic resonance imaging, delayed gadolinium enhancement sequences with long inversion time (TI 600) are commonly used to distinguish between an avascular thrombus versus a vascular tumor.

Keywords: CMR; TI 600; cardiac thrombus; myxoma.

Publication types

Case Reports

MeSH terms

Contrast Media
Gadolinium
Heart Atria / diagnostic imaging
Heart Atria / surgery
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Myxoma* / complications
Myxoma* / diagnostic imaging
Myxoma* / surgery
Thrombosis* / diagnostic imaging
Thrombosis* / surgery

Substances

Contrast Media
Gadolinium