Dergiler / Journal of Basic and Clinical Health Sciences / 2026 / Volume: 7 Issue: 2

Prominent Crista Terminalis Magnetic Resonance Imaging Findings

Sedat Altay(IZMIR Ataturk Research and Training Hospital, Department of Radiology,)0000-0003-1602-2717
Sayfa
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Yayın Tarihi
2023-05-31
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It was observed that there was a relationship between arrhythmia incidence and PCT dimension in patients.

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Amaç & Hipotez:Purpose: Prominent Crista Terminalis (PCT) is a frequent variation of the right atrium (RA) posterior wall with a pseudotumor image.
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Temel Bulgular & Veri:Methods: Between 2016 and 2020, 140 patients (58 ±14 years) were evaluated retrospectively.
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Sonuç & Katkı:It was observed that there was a relationship between arrhythmia incidence and PCT dimension in patients.
🔬Tür:Research Article
📍Kapsam:2016 Verileri
⚙️Değişkenler:Crista Terminalis · Right Atrial Mass · Anatomical Variants

Abstract

Purpose: Prominent Crista Terminalis (PCT) is a frequent variation of the right atrium (RA) posterior wall with a pseudotumor image. The aim of this study is to evaluate PCT image characteristics and cardiac functional effects with cardiac magnetic resonance imaging (CMR). Methods: Between 2016 and 2020, 140 patients (58 ±14 years) were evaluated retrospectively. PCT was measured in 2 planes with the longest thickness at the atrial end-diastole. Patients with crista terminalis thickness greater than 8 mm were evaluated. Patients were assessed by the RA, right ventricular (RV) end-diastolic diameter (ED), RV, left ventriculi (LV) ejection fraction (EF), and PCT diameter were included in the study. After the Kolmogorov-Smirnov normality test, cases were compared with the paired student t-test. Mann-Whitney test was used for comparison of non-parametric variables. The effect of the increase in PCT diameter on the RVEF, LVEF, and RAED, RVED was investigated using Pearson's correlation coefficient. Results: There was no significant correlation (r<0,5) between PCT thickness and RVEF (r=0.49), LVEF (r=0,115), RAED (r=0.32), RVED (r=0.07). Fourteen patients (10%) with PCT had a history of arrhythmia. Arrhythmia was not observed in patients with PCT less than 10 mm. It was observed that the risk of arrhythmia increased with PCT thickness. Conclusion: CMR image features provided reliable data for patient management in PCT diagnosis and follow-up. There was not detected statically significant change in right and left heart functions in patients with PCT. It was observed that there was a relationship between arrhythmia incidence and PCT dimension in patients.

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Bu Makaleye Atıf Yap

Altay, S. (2023). Prominent Crista Terminalis Magnetic Resonance Imaging Findings. Journal of Basic and Clinical Health Sciences, Volume: 7 Issue: 2. https://doi.org/10.30621/jbachs.904705

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Kaynakça (3)

  1. Referans1. Salim H, Palit A, Maher A. When is a mass not a mass? An unusual presentation of prominent crista terminalis. BMJ Case Rep 2016;bcr2015211532.
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  3. Referans3. Wang J, Wang G, Bi X, Zhang R, Liu C. An unusual presentation of prominent crista terminalis mimicking a right atrial mass: a case report. BMC Cardiovasc Disord 2018;18:210.