Multimodality imaging for the differential diagnosis of a cardiac pseudotumor: the mazy case of Coumadin Ridge
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Author(s)
Abstract
The Coumadin/Warfarin ridge (CWR), also known as “Q-tip” sign in cardiac magnetic resonance (CMR) imaging, consists in a prominent muscle ridge lying in the left atrium, in-between the left atrial appendage and the insertion of left upper pulmonary vein; due to its shape and position it is often misdiagnosed as a left atrial myxoma or a thrombus, without regression despite anticoagulation therapy with warfarin (Coumadin). We present here, a particularly rare condition in which an extraordinary prominent ridge was firstly misdiagnosed as a cardiac mass and secondly as a Cor Triatriatum Sinister. Awareness of CWR location, and both echocardiographic and CMR features, can help avoiding misdiagnosis and overtreatments, even if particularly prominent as in our case.
Keywords
Cardiac masses; Pseudotumors; Cor triatriatum; Coumadin ridge; Multimodality imaging.
Cite this paper
MD, FACC, FESC, Valentina Bucciarelli, Piergiusto Vitulli, Sabina Gallina,
Multimodality imaging for the differential diagnosis of a cardiac pseudotumor: the mazy case of Coumadin Ridge
, SCIREA Journal of Clinical Medicine.
Volume 4, Issue 2, April 2019 | PP. 31-38.
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