{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:54:46Z","timestamp":1777640086872,"version":"3.51.4"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background\u2003<\/jats:title>\n                  <jats:p>Atrial myxomas are the most common benign cardiac tumours. This case highlights an unusual presentation and complex management of a patient who was incidentally found to have a left atrial tumour concerning for a myxoma.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary\u2003<\/jats:title>\n                  <jats:p>A 54-year-old-woman presented with symptoms of nausea and vomiting and was found to have a left atrial mass incidentally in addition to a renal infarct. She was also found to have COVID-19 and the mass was initially thought to be a thrombus. With the help of multimodality imaging, it was determined that the mass was an atrial myxoma and she was started on short-term anticoagulation to prevent recurrent embolization. After 6 weeks of anticoagulation, she successfully underwent elective resection of the mass which was confirmed to be myxoma with superimposed thrombus.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion\u2003<\/jats:title>\n                  <jats:p>It is difficult to differentiate cardiac tumours from intracardiac thrombus and multimodality cardiac imaging is crucial to make an accurate diagnosis. While the treatment of atrial myxomas involves early surgical resection, it becomes more complicated with concurrent COVID-19 infection.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab062","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T22:17:10Z","timestamp":1615241830000},"source":"Crossref","is-referenced-by-count":3,"title":["Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3860-4868","authenticated-orcid":false,"given":"Pragya","family":"Ranjan","sequence":"first","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gina","family":"LaRocca","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Sanz","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Croft","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,3,4]]},"reference":[{"key":"2021030822170561800_ytab062-B1","doi-asserted-by":"crossref","first-page":"3078","DOI":"10.1016\/j.jacc.2020.04.002","article-title":"ASE statement on protection of patients and echocardiography service providers during the 2019 novel coronavirus outbreak","volume":"23","author":"Kirkpatrick","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"2021030822170561800_ytab062-B2","doi-asserted-by":"crossref","first-page":"2950","DOI":"10.1016\/j.jacc.2020.04.031","article-title":"COVID-19 and thrombotic or thromboembolic disease: implications for prevention, antithrombotic therapy, and follow-up","volume":"75","author":"Bikdeli","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"2021030822170561800_ytab062-B3","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/S0002-9149(97)89149-7","article-title":"Frequency of primary tumors of the heart","volume":"77","author":"Reynen","year":"1996","journal-title":"Am J Cardiol"},{"key":"2021030822170561800_ytab062-B4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0146-2806(79)90008-2","article-title":"Primary tumors and cysts of the heart and pericardium","volume":"4","author":"McAllister","year":"1979","journal-title":"Curr Probl Cardiol"},{"key":"2021030822170561800_ytab062-B5","volume-title":"UpToDate","author":"Gaasch","year":"2020"},{"key":"2021030822170561800_ytab062-B6","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.jcmg.2016.06.018","article-title":"Cardiac myxoma: the great mimicker","volume":"10","author":"El Sabbagh","year":"2017","journal-title":"JACC Cardiovasc Imaging"},{"key":"2021030822170561800_ytab062-B7","article-title":"Incidence of thrombotic complications in critically ill ICU patients with COVID-19","author":"Klok","year":"2020","journal-title":"Thromb Res"},{"key":"2021030822170561800_ytab062-B8","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1148\/radiol.13121239","article-title":"MR imaging of cardiac tumors and masses: a review of methods and clinical applications","volume":"268","author":"Motwani","year":"2013","journal-title":"Radiology"},{"key":"2021030822170561800_ytab062-B9","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.jcct.2020.03.002","article-title":"Society of cardiovascular computed tomography guidance for use of cardiac computed tomography amidst the COVID-19 pandemic endorsed by the American College of Cardiology","volume":"14","author":"Choi","year":"2020","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"2021030822170561800_ytab062-B10","author":"Skali"},{"key":"2021030822170561800_ytab062-B11","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s12968-020-00628-w","article-title":"Society for cardiovascular magnetic resonance (SCMR) guidance for the practice of cardiovascular magnetic resonance during the COVID-19 pandemic","volume":"22","author":"Han","year":"2020","journal-title":"J Cardiovasc Magn Reson"}],"container-title":["European Heart Journal - 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