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Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest

Overview of attention for article published in Echo Research & Practice, June 2015
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  • Above-average Attention Score compared to outputs of the same age (54th percentile)

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Title
Large, mobile, transmitral metastastic osteosarcoma presenting as cardiac arrest
Published in
Echo Research & Practice, June 2015
DOI 10.1530/erp-14-0106
Pubmed ID
Authors

Clare M. Jackson, Helen E. Ellis, Mark C. Dodd, Laurence O’Toole

Abstract

The present case is an unusual one of a 21-year-old female with a primary osteosarcoma and left lung metastasis presenting following a witnessed pulseless electrical activity cardiac arrest. The electrocardiogram was unremarkable. A computed tomography pulmonary angiogram (CTPA) demonstrated a tumour within the left inferior pulmonary veins. Transthoracic echocardiography (TTE) revealed a severely hypokinetic left ventricle and a multi-lobulated, mobile mass arising from one of the left pulmonary veins which prolapsed to varying degrees on a beat-to-beat basis back and forth through the mitral valve into the left ventricle (during ventricular diastole) and retracted back into the left atrium (during ventricular systole). The present case demonstrates the importance of performing TTE in an emergency presentation, its influence on diagnosis and, in the present case, its usefulness in aiding the decision to withdraw life-sustaining treatments. It also highlights the importance of considering urgent intervention for a tumour seen to prolapse through the mitral valve because of the real risk of acute obstruction. The present case emphasises the importance of thorough clinical assessment in triggering TTE assessment in a critical care setting.TTE is a portable, radiation-free imaging modality that can aid rapid diagnosis in a deteriorating patient and guide an informed management plan.Many district general hospitals in the UK lack cardiology support and access to echocardiography 'out-of-hours'. TTE, in the hands of an experienced operator, is an invaluable tool in the emergency assessment and management of critically unwell patients and should be available 24 h a day, 7 days a week.Echosonographers and physicians seeing similar dynamic tumour pathology with variable transmission through the mitral valve should bear in mind acute obstruction as a potential consequence and thus consider urgent intervention.

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X Demographics

The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 13 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 13 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 4 31%
Student > Ph. D. Student 3 23%
Librarian 1 8%
Student > Bachelor 1 8%
Researcher 1 8%
Other 1 8%
Unknown 2 15%
Readers by discipline Count As %
Medicine and Dentistry 3 23%
Nursing and Health Professions 2 15%
Social Sciences 1 8%
Computer Science 1 8%
Unknown 6 46%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 January 2016.
All research outputs
#14,278,325
of 25,374,917 outputs
Outputs from Echo Research & Practice
#188
of 268 outputs
Outputs of similar age
#125,960
of 281,411 outputs
Outputs of similar age from Echo Research & Practice
#8
of 8 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 268 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.3. This one is in the 29th percentile – i.e., 29% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 281,411 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one.