Abstract
Cardiac tumors are rare but quite often dramatic diseases. In a large number of cases, in fact, to an asymptomatic patient the surgical intervention is proposed as the only therapeutic option. CMR is probably the preferable imaging technique as it allows a comprehensive assessment of morphology, function, and tissue characterization. The last one, despite it being far from a noninvasive histology, allows sophisticated probabilistic approach in the single patient, allowing to select a rational procedure in the difficult task to select between conservative and surgical approach.
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5.1 Electronic Supplementary Material
SSFP cine images in horizontal long-axis plane. Evidence of a round-shaped mass at the level of the interatrial septum within the left atrial cavity (AVI 899 kb)
SSFP cine images in horizontal long axis of the heart with evidence of the round-shaped tumor protruding either toward the left ventricle or toward the right sections (AVI 769 kb)
SSFP cine images in vertical long axis of the left sections. With evidence of the large tumoral mass at the level of the inferior segments protruding toward the left ventricle cavity (AVI 923 kb)
SSFP cine images in vertical long axis of the right sections. With evidence of the large tumoral mass at the level of the inferior segments with initial compressive effect on the Inferior Vena Cava during the diastolic phase (AVI 803 kb)
SSFP cine images in short axis of the heart with evidence of the round-shaped tumor at the level of the inferior segments (AVI 851 kb)
Perfusion sequence. Evidence of a reduced enhancement of the signal during the first pass of the contrast agent during the passage through the tumoral mass. This finding can be interpreted as a reduced vascularization of the tumor (AVI 1013 kb)
SSFP cine images in short axis of the heart. Evidence of a large sessile ovoid mass at the level of the inferior wall (AVI 9275 kb)
Perfusion images (GR-IR) obtained in a vertical long-axis plane to follow the first pass of a bolus of contrast agent (0.075Â mmol/kg) injected in a peripheral vein. Evidence of hypoperfusion of the lipoma (AVI 18267 kb)
SSFP cine images in horizontal long axis of the heart. Evidence of an ovoid-shaped mass just beside the posterior mitral leaflet (AVI 6243 kb)
SSFP cine images in three-chamber view. Evidence a very mobile pathologic mass adherent to the interventricular septum (AVI 737 kb)
SSFP cine images in oblique view. Evidence a very mobile pathologic mass at the level of the outflow tract. The pathologic mass is evident only during the systolic phase (AVI 963 kb)
SSFP cine images in horizontal long axis showing the behavior of the interatrial mass with respect to the mitral valve (AVI 6243 kb)
SSFP cine images in vertical long axis showing the behavior of the interatrial mass with respect to the mitral valve (AVI 6243 kb)
SSFP cine images in short axis view. Presence of the small round-shaped intracardiac mass at the level of the interventricular septum (AVI 5595 kb)
SSFP cine images in vertical long-axis plane. Presence of the small round-shaped intracardiac mass at the level of the interventricular septum (AVI 6489 kb)
SSFP cine images in axial plane at the level of the upper part of the mediastinum. Presence of a quite homogeneous mass just in front of the trachea which is black due to the drop of the signal derived from the presence of air (AVI 79055 kb)
SSFP cine images in sagittal plane. Presence of a quite homogeneous mass just below the aortic arch (AVI 79055 kb)
Perfusion images in sagittal plane. Evidence of a pronounced level of contrast intensity at the level of the pathologic mass during the first pass (AVI 210809 kb)
SSFP cine images in horizontal long-axis plane. Evidence of a mass with irregular profile at the level of the right atrium (AVI 6915 kb)
SSFP cine images in oblique view. Evidence of an ovoid mass at the level of the right atrium (AVI 5546 kb)
First-pass perfusion sequence in oblique view. Evidence of little enhancement of the tumoral mass but in the peripheral layer (AVI 14411 kb)
SSFP cine images in axial plane at the level of the pathologic mass which shows infiltrative nature at the level of the Superior Vena Cava (AVI 946 kb)
SSFP cine sequence in horizontal long axis of the heart. Evidence of a large inhomogeneous mass at the level of the right side of the heart. Pleural and pericardial effusion (AVI 6108 kb)
SSFP cine sequence in sagittal plane showing the large pathologic mass at the level of the right atrium and invading the Inferior Vena Cava (AVI 6340 kb)
SSFP cine images: Axial plane at the level of aortic valvular plane. Evidence of Superior Vena Cava compression (AVI 117614 kb)
SSFP cine images: Coronal plane. Evidence of Superior Vena Cava stenosis due to the tumoral mass (AVI 117614 kb)
SSFP cine images at the level of the right-ventricle outflow tract showing no real obstruction of the mass to the blood flow (AVI 117614 kb)
SSFP cine images in vertical long axis of the heart. Presence of the thrombus at the level of the left ventricle apex (AVI 117614 kb)
SSFP cine images in horizontal long axis of the heart. Presence of the thrombus at the level of the left ventricle apex (AVI 117614 kb)
SSFP cine images of left ventricle. Vertical long-axis view. Presence of large apical dyssynergy with intraventricular thrombotic stratification (AVI 6243 kb)
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Rustamova, Y., Lombardi, M. (2020). Cardiac Masses. In: Cardiac Magnetic Resonance Atlas. Springer, Cham. https://doi.org/10.1007/978-3-030-41830-4_5
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DOI: https://doi.org/10.1007/978-3-030-41830-4_5
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