Rare cardiac tumor simulating ST elevated acute myocardial infarction (original) (raw)
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Benign cardiac tumor in a patient with lung malignancy
Clinical Research in Cardiology, 2007
Sirs: With an incidence of approximately 0.02% in autopsy series, primary tumors of the heart are very rare . While 80-90% of primary cardiac neoplasms seen in the left atrium are benign myxomas, tumors of the right side of the heart are always suspicious of malignancy . Metastatic cardiac tumors are 20 to 40 times more common than primary heart neoplasms and have been reported in up to 20.6% of patients with extracardiac malignancies . In most of these patients cardiac involvement is a sign of poor prognosis. We present a patient with squamous cell lung cancer and a concomitant huge right-atrial mass, in whom precise cardiac evaluation and subsequent histopathological diagnosis were essential for further therapy.
A primary cardiac sarcoma with unusual histology and clinical course
The Annals of Thoracic Surgery, 2001
Our patient's hamartoma was associated with a wide complex tachycardia that originated from the left ventricle. Incessant ventricular tachycardia has been seen in a number of children with myocardial hamartomas [9]. There are a number of case reports of patients with ventricular tumors who had telemtry guided suppression of VT with antiarrhythmia drugs without surgery [10 -13]. In our patient, the tachycardia appears to have been ablated by surgical excision which was undertaken for diagnosis and tumor removal as well.
International cancer conference journal, 2012
Objectives The aim of this study is to present two patients with cardiac tumors, which by their localization, size and histopathological lineage, can be considered very rare. Methods The clinical, echocardiographic, computed tomography and pathological findings obtained in two examples were analyzed. Results The first case was a 54-year-old female who had progressive dyspnea with small efforts and presyncope of 1 month of evolution, most likely related to obstructive tricuspid valve myxoma-generated process, which protruded into the right ventricle reaching the apex, as was demonstrated in bidimensional color Doppler and tridimensional echocardiography. The second case was a 66-year-old male with a 6-month history of fatigue, weakness and dyspnea with great effort. The echocardiogram showed an heterogeneous ovoid mass in the right ventricle, attached to the interventricular septum with tricuspid septal leaflet infiltration. The cardiac computed tomography (CT) corroborated the presence of tumor with calcification and fat components, suggestive of teratoma, because mature cartilage tissue is not always identifiable with CT and Hounsfield units of cartilages are variable. The calcium density on the CT image is considered to be bone or cartilage, but is not specific. The differential diagnosis with liposarcoma is described in discussion. Conclusion Two-dimensional echocardiography is the primary diagnostic imaging modality in the morphological evaluation of intracardiac masses, it is also useful in the following-up of the possible recurrences. This technique is non-invasive, low cost and provides real-time imaging with high spatial and temporal resolution. Three-dimensional echocardiography is a useful tool that provides additional information and better morphological characterization of intracardiac masses. Computed tomography can accurately identify the components of the tumor and it contributed to the proper diagnosis of teratoma. In both patients, the diagnosis was early and precise, with surgical curative resection of the tumors and good prognoses.
Journal of Cardiovascular Medicine, 2008
Cardiac neoplasms, whether primary or secondary, are more and more easily diagnosed in the present era. For the primary heart tumors, myxomas and sarcomas constitute the most common neoplasms, whereas for the secondary ones, lung cancer constitutes the most common primary location. Cardiac neoplasms may involve the endocardium, the myocardium, the epicardium, the valves or any combination of these. Their clinical manifestations are not specific and depend on their anatomic location and size. Diagnosis of cardiac neoplasms has become more feasible with the use of echocardiography and other imaging techniques (computed tomography and magnetic resonance). The major problem, however, still remains that most diagnoses are late, especially for malignant tumors. For resectable tumors, surgery remains the mainstay of treatment, whereas for metastatic disease palliative treatment remains the only therapeutic option. This paper reviews the types of heart tumors, their clinical symptoms, the diagnostic approaches and the therapeutic tools used by physicians.
Masses in right side of the heart: spectrum of imaging findings
Acta Bio Medica : Atenei Parmensis, 2020
Primary heart tumors are rare, benign tumors represent the majority of these. If a cardiac mass is found, the probability that it is a metastasis or a so-called “pseudo-mass” is extremely higher than a primary tumor. The detection of a heart mass during a transthoracic echocardiography (TE) is often unexpected. The TE assessment can be difficult, particularly if the mass is located at the level of the right chambers. Cardiac Computed Tomography (CCT) can be useful in anatomical evaluation and Cardiac Magnetic Resonance (CMR) for masses characterization as well. We provide an overview of right cardiac masses and their imaging futures. (www.actabiomedica.it)
Cardiac Tumors: Diagnosis, Prognosis, and Treatment
Current Cardiology Reports, 2020
Purpose of Review Cardiac masses frequently present significant diagnostic and therapeutic clinical challenges and encompass a broad set of lesions that can be either neoplastic or non-neoplastic. We sought to provide an overview of cardiac tumors using a cardiac chamber prevalence approach and providing epidemiology, imaging, histopathology, diagnostic workup, treatment, and prognoses of cardiac tumors. Recent Findings Cardiac tumors are rare but remain an important component of cardio-oncology practice. Over the past decade, the advances in imaging techniques have enabled a noninvasive diagnosis in many cases. Indeed, imaging modalities such as cardiac magnetic resonance, computed tomography, and positron emission tomography are important tools for diagnosing and characterizing the lesions. Although an epidemiological and multimodality imaging approach is useful, the definite diagnosis requires histologic examination in challenging scenarios, and histopathological characterization...