case_images: PMC10348382_01
case_images: - Eletrocardiograma de 12 derivacoes demonstrando bloqueio atrioventricular total com ritmo de escape juncional e frequencia cardiaca de 30 bpm.
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case_images: An electrocardiogram (ECG) was conducted, which identified a complete AVB and a junctional escape rhythm, with an HR of 30 bpm (Figure 1).
case_images: - Ecocardiograma demonstrando, em janela apical quatro camaras (A) e subcostal (B), estrutura anecoica de aspecto cistico no interior do atrio direito, aderida ao septo interatrial e adjacente ao folheto septal tricuspide (setas vermelhas). Apos a injecao periferica de solucao salina agitada, observado um delineamento mais preciso da lesao, sem preenchimento desta pela solucao (C e D). AE: atrio esquerdo; AD: atrio direito; VE: ventriculo esquerdo; VD: ventriculo direito.
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case_images: After the peripheral injection of a stirred saline solution, a more precise design of the structure was observed, without the filling of this structure or the passage of stirred solution among the chambers (Figure 2).
case_images: - Angiotomografia computadorizada de torax em corte axial demonstrando imagem hipodensa de contornos regulares e lisos, medindo 2,5 x 2,2 cm, com conteudo liquido, localizada proxima a regiao do septo interatrial e porcao basal do septo interventricular.
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case_images: The CT of the abdomen identified no cysts in other organs (Figure 3).
case_images: - Ecocardiograma transtoracico demonstrando imagem cistica com discreta reducao das dimensoes em comparacao com exame previo, medindo aproximadamente 2,1 x 2,0 cm.
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case_images: After three months of outpatient follow-up, the TTE was repeated, which revealed a discrete reduction in the size of the cyst when compared to the pre-treatment medication image (Figure 4), with no signs of complication; the patient remained asymptomatic.