Journal of the American Society of Echocardiography
Volume 15, Issue 7 , Pages 753-755, July 2002

Prominent crista terminalis appearing as a right atrial mass on transthoracic echocardiogram

Lovelace Medical Center and the Department of Medicine (Cardiology) (M.B.W.,F.M.K.,V.M.F.), The University of New Mexico Health Science Center. Albuquerque, New Mexico

Abstract 

The crista terminalis is a fibromuscular ridge formed by the junction of the sinus venosus and primitive right atrium. In these case reports, transthoracic echocardiography suggested the presence of a right atrial mass. However, subsequent transesophageal echocardiography revealed that the “right atrial mass” was actually a prominent crista terminalis. An understanding of the anatomy and the echocardiographic appearance of a prominent crista terminalis will minimize the misdiagnosis of this structure. (J Am Soc Echocardiogr 2002;15:753-5.)

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 Reprint requests: Vincent M. Figueredo, MD, Heart and Vascular Center, Lovelace Medical Center, 5400 Gibson Blvd SE, Albuquerque, NM 87108 (E-mail: vincent.figueredo@lovelace.com).

PII: S0894-7317(02)00030-5

doi:10.1067/mje.2002.119163

Journal of the American Society of Echocardiography
Volume 15, Issue 7 , Pages 753-755, July 2002