PathWays Case Study: September 29

09-29-15

A 62-year-old man with a history of mitral valve replacement 25 years prior, presented with dyspnea on exertion. Transthoracic echocardiography and cardiac computed tomography (CT) revealed a 7.0 cm right atrial mass. Surgical resection revealed the mass was adherent to the free wall of the right atrium. 

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Dr. Joseph Maleszewski

Joseph Maleszewski, M.D.
Consultant, Division of Anatomic Pathology
Mayo Clinic
Associate Professor of Laboratory Medicine and Pathology and Associate Professor of Medicine,
Mayo Clinic College of Medicine

 

 

Melanie Bois, M.D.

Melanie Bois, M.D.
Resident, Division of Anatomic & Clinical Pathology
Mayo Clinic

apriljosselyn

April Josselyn

April Josselyn is a Marketing Associate at Mayo Medical Laboratories. She is the editor of Mayo Clinic PathWays and supports corporate communications strategies and internal communications. She has worked at Mayo Clinic since 2012. Outside of work, April enjoys the outdoors and being "hockey mom" for her two sports-crazed boys.

Responses

Well iam gland of the doctors who delt with this case,iam hearing the diagnosis name for the first time,hats off I hope the patient will get well sopn

Well iam gland of the doctors who delt with this case,iam hearing the diagnosis name for the first time,hats off I hope the patient will get well soon

The NEJM has been showing 2 cases /wk for years, some as rare as your case, But what’s most important, but frequently absent is a follow-up picture. This is the biggest sin of patient care is the lack of obtaining follow-up. It is the greatest part of teaching, but why should hospital administrators pay secretaries to obtain this information, when they have already collected the fees for care. The’re in the business of making as much as they can with the next patient. Thank you for this case. Sincerely, A retired anatomic pathologist, after 55 yrs working in a Med School Path Dept.

A really nice case to show.

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