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In Vivo Detection of Encapsulated Intracardiac Paraganglioma by Delayed Gadolinium Enhancement Magnetic Resonance Imaging 

Authors: Christopher McGann abc;  Henry Tazelaar d;  Sang Rock Cho b;  Youssef Al-Saghir a;  Fredric Shean a;  William Young e; Hartzell Schaff f
Affiliations:   a Division of Cardiology, Health Sciences Center, University of Utah, Salt Lake City, Utah, USA
b Department of Radiology, University of Utah, Salt Lake City, Utah, USA
c Division of Cardiology, Health Sciences Center, University of Utah, Salt Lake City, UT, USA
d Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA
e Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA
f Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA
DOI: 10.1081/JCMR-200053642
Publication Frequency: 6 issues per year
Published in: journal Journal of Cardiovascular Magnetic Resonance, Volume 7, Issue 2 April 2005 , pages 371 - 375
First Published on: 01 April 2005
Formats available: HTML (English) : PDF (English)

The circumstances under which this title is published have changed:

Reason for change: Merger
Date of change: 2007



Abstract

Intracardiac paragangliomas are rare endocrine tumors that are usually benign and can be cured by surgical resection. Both invasive and encapsulated forms have been described and degree of invasion determines surgical complexity. We present in vivo detection of fibrotic encapsulation in a cardiac paraganglioma using delayed enhancement (DE) cardiac magnetic resonance imaging (CMRI), later confirmed on pathology. This finding improved presurgical risk assessment and helped guide management. Tumor necrosis was also easily identified. DE appears useful in the assessment of intracardiac tumor invasion.
Keywords: Delayed enhancement; Encapsulated; Gadolinium; Magnetic resonance imaging; Paraganglioma
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