Abstract
Cardiac tumors are rarely suspected clinically but usually appear as unexpected findings when patients are investigated for syncope, breathlessness, thromboembolism, or constitutional manifestations such as congestive heart failure or pulmonary hypertension [1]. Transthoracic echocardiography provides a great opportunity to identify tumors that are clinically silent [2], although extension to extra cardiac structures should be further investigated by transesophageal echocardiography [3], CT scanning, or CMR. Benign tumors form approximately 80% of all cardiac tumors, 70% of which are myxomas [4].
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Bloor CM, O’Rourke RA. Cardiac tumors: clinical presentation and pathologic correlations. Curr Probl Cardiol. 1984;9(6):7–48.
Fyke III FE, Seqard JB, Edwards WD, Miller Jr FA, Reeder GS, Schattenberg TT, et al. Primary cardiac tumors: experience with 30 consecutive patients since the introduction of two-dimensional echocardiography. J Am Coll Cardiol. 1985;5(6):1465–73.
Reeder GS, Khandheria BK, Seward JB, Tajik AJ. Transesophageal echocardiography and cardiac masses. Mayo Clin Proc. 1991;66(11):1101–9.
Goodwin JF. The spectrum of cardiac tumors. Am J Cardiol. 1968;21(3):307–14.
Prichard RW. Tumors of the heart: review of the subject and report of one hundred and fifty cases. Arch Pathol. 1951;51:98–128.
Nasser WK, Davis RH, Dillon JC, Tavel ME, Helmen CH, Feigenbaum H, et al. Atrial myxoma. I. Clinical and pathologic features in nine cases. Am Heart J. 1972;83(5):694–704.
McAllister HA, Fenoglio JJ. Tumors of the cardiovascular system. Atlas of tumor pathology. Washington: Armed Forces Institute of Pathology; 1978.
Salcedo EE, Adams KV, Lever HM, Gill CC, Lombardo H. Echocardiographic findings in 25 patients with left atrial myxoma. J Am Coll Cardiol. 1983;1(4):1162–6.
Vargas-Barron J, Romero-Cardenas A, Villegas M, Keirns C, Gomez-Jaume A, Delong R, et al. Transthoracic and transesophageal echocardiographic diagnosis of myxomas in the four cardiac cavities. Am Heart J. 1991;121(3 Pt 1):931–3.
Gorcsan III J, Blanc MS, Reddy PS, Marrone GC. Hemodynamic diagnosis of mitral valve obstruction by left atrial myxoma with transesophageal continuous wave Doppler. Am Heart J. 1992;124(4):1109–12.
Dashkoff N, Boersma RB, Nanda NC, Gramiak R, Andersen MN, Subramanian S. Bilateral atrial myxomas. Echocardiographic considerations. Am J Med. 1978;65(2):361–6.
Turlapati RV, Jacobs LE, Kotler MN. Right atrial myxoma causing total destruction of the tricuspid valve leaflets. Am Heart J. 1990;120(5):1227–31.
Bryhn M, Gustafson A, Stubbe I. Two-dimensional echocardiography in the diagnosis of hemorrhages in a left atrial myxoma. Acta Med Scand. 1982;212(6):433–5.
Rahilly Jr GT, Nanda NC. Two-dimensional echographic identification of tumor hemorrhages in atrial myxomas. Am Heart J. 1981;101(2):237–9.
Reeder GS, Tajik AJ, Seward JB. Left ventricular mural thrombus: two-dimensional echocardiographic diagnosis. Mayo Clin Proc. 1981;56(2):82–6.
Lee KS, Topol EJ, Stewart WJ. Atypical presentation of papillary fibroelastoma mimicking multiple vegetations in suspected subacute bacterial endocarditis. Am Heart J. 1993;125(5 Pt 1):1443–5.
Richard J, Castello R, Dressler FA, Willman VL, Nashed A, Lewis B, et al. Diagnosis of papillary fibroelastoma of the mitral valve complicated by non-Q-wave infarction with apical thrombus: transesophageal and transthoracic echocardiographic study. Am Heart J. 1993;126(3 Pt 1):710–2.
Shirani J, Roberts WC. Clinical, electrocardiographic and morphologic features of massive fatty deposits (“lipomatous hypertrophy”) in the atrial septum. J Am Coll Cardiol. 1993;22(1):226–38.
Kamiya H, Ohno M, Iwata H, Ohsugi S, Sawada K, Koike A, et al. Cardiac lipoma in the interventricular septum: evaluation by computed tomography and magnetic resonance imaging. Am Heart J. 1990;119(5):1215–7.
Smythe JF, Dyck JD, Smallhorn JF, Freedom RM. Natural history of cardiac rhabdomyoma in infancy and childhood. Am J Cardiol. 1990;66(17):1247–9.
Burke AP, Cowan D, Virmani R. Primary sarcomas of the heart. Cancer. 1992;69(2):387–95.
Glancy DL, Morales Jr JB, Roberts WC. Angiosarcoma of the heart. Am J Cardiol. 1968;21(3):413–9.
Skhvatsabaja LV. Secondary malignant lesions of the heart and pericardium in neoplastic disease. Oncology. 1986;43(2):103–6.
Glancy DL, Roberts WC. The heart in malignant melanoma. A study of 70 autopsy cases. Am J Cardiol. 1968;21(4):555–71.
Roberts WC, Glancy DL, DeVita Jr VT. Heart in malignant lymphoma (Hodgkin’s disease, lymphosarcoma, reticulum cell sarcoma and mycosis fungoides). A study of 196 autopsy cases. Am J Cardiol. 1968;22(1):85–107.
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An example from a patient with secondaries invading right ventricular free wall in various views
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Henein, M.Y., Sheppard, M., Rigby, M. (2012). Cardiac Tumors. In: Henein, M. (eds) Clinical Echocardiography. Springer, London. https://doi.org/10.1007/978-1-84882-521-5_14
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