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Incremental value of live/real-time three-dimensional transesophageal echocardiography over the two-dimensional technique in the identification of accessory liver lobe presenting as a right atrial mass
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  • Nishank Nooli,
  • Panos Vardas,
  • Yashaswi Koguru ,
  • Navin C. Nanda
Nishank Nooli
The University of Alabama at Birmingham School of Medicine

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Panos Vardas
The University of Alabama at Birmingham School of Medicine
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Yashaswi Koguru
The University of Alabama at Birmingham
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Navin C. Nanda
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We describe an adult patient with a large right atrial mass which was found to have the same echotexture as adjacent liver tissue on two-dimensional transesophageal echocardiography (2DTEE). By using live/real-time three-dimensional transesophageal echocardiography (3DTEE), we were able to examine the mass by meticulous cropping and confirm the echotexture was similar to liver tissue throughout its extent. Three-dimensional cropping also redemonstrated in a definitive manner that the mass was in continuity with liver. Thus, in our patient 3DTEE served to increase the confidence level of making a definitive diagnosis of a supernumerary lobe of liver. To the best of our knowledge, the incremental value of 3DTEE over 2DTEE in diagnosing a supernumerary liver lobe has not been reported previously. The mass was surgically resected and the findings confirmed as liver tissue by pathological examination.
Aug 2022Published in Journal of Cardiothoracic and Vascular Anesthesia volume 36 issue 8 on pages 2526-2531. 10.1053/j.jvca.2021.08.007