Volume 36, Issue 1 pp. 170-176

ECHO ROUNDS Section Editors - Edmund Kenneth Kerut, MD and Michael R. McMullan, MD

The transverse and oblique sinuses of the pericardium: Anatomic and echocardiographic insights

Swetha Penmasta MD,

Swetha Penmasta MD

Icahn School of Medicine at Mount Sinai, New York, New York

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Jeffrey J. Silbiger MD,

Corresponding Author

Jeffrey J. Silbiger MD

[email protected]

orcid.org/0000-0003-4817-0108

Icahn School of Medicine at Mount Sinai, New York, New York

Correspondence

Jeffrey J. Silbiger, Echocardiography Laboratory, Department of Cardiology, Elmhurst Hospital Center, Icahn School of Medicine at Mount Sinai, New York, NY.

Email: [email protected]

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Swetha Penmasta MD,

Swetha Penmasta MD

Icahn School of Medicine at Mount Sinai, New York, New York

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Jeffrey J. Silbiger MD,

Corresponding Author

Jeffrey J. Silbiger MD

[email protected]

orcid.org/0000-0003-4817-0108

Icahn School of Medicine at Mount Sinai, New York, New York

Correspondence

Jeffrey J. Silbiger, Echocardiography Laboratory, Department of Cardiology, Elmhurst Hospital Center, Icahn School of Medicine at Mount Sinai, New York, NY.

Email: [email protected]

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First published: 01 December 2018

https://doi.org/10.1111/echo.14211

Citations: 10

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Abstract

A number of masses and pseudomasses may be encountered during the echocardiographic examination of the transverse and oblique sinuses with significant clinical implications. This review discusses the clinically relevant anatomy of the pericardial sinuses emphasizing diagnostic pitfalls that may be encountered during their echocardiographic examination.

Supporting Information

REFERENCES

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Citing Literature

Volume36, Issue1

January 2019

Pages 170-176

Filename	Description
echo14211-sup-0001-MovieS1.mp4MPEG-4 video, 4.1 MB	Movie S1. Transesophageal image revealing fat in the transverse sinus. Ao = aorta; LA = left atrium; PA = pulmonary artery.
echo14211-sup-0002-MovieS2.mp4MPEG-4 video, 10.6 MB	Movie S2. Transthoracic image demonstrating a mobile mass which appears to represent a thrombus in the left atrial (LA) appendage. Ao = aorta; PA = pulmonary artery; TS = transverse sinus.
echo14211-sup-0003-MovieS3.mp4MPEG-4 video, 4.9 MB	Movie S3. Transthoracic image with contrast injection revealed that mass in Movie S2 is not intracardiac. Note that the mass (likely fat) is surrounded by an echo-free space which represents pericardial fluid in the transverse sinus (TS). Ao = aorta; LA = left atrium; PA = pulmonary artery.

The transverse and oblique sinuses of the pericardium: Anatomic and echocardiographic insights

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The transverse and oblique sinuses of the pericardium: Anatomic and echocardiographic insights

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