Cardiac and paracardiac masses

  title={Cardiac and paracardiac masses},
  author={Francesc Carreras-Costa},
Cardiac tumors are a rare cause of heart disease, being found in autopsy series with a frequency ranging between 0.0017% and 0.03%1, 30% are myxomas and 20–30% are malignancies, almost always sarcomas. Cardiac metastases are 10 to 40 times more frequent than primary heart cancer. The diagnosis of the presence of a tumor involving the cardiovascular system in live patients was difficult in the past due to the elusive character of clinical signs and symptoms, their recognition being usually made… 


Primary cardiac malignancy presenting as left atrial myxoma. Clinical and surgical considerations.
A case of a left atrial sarcoma erroneously diagnosed as myxomas preoperatively is described, which indicates that criteria of surgical radicality should be those followed for soft tissue tumors located elsewhere in the organism.
Cardiac tumors: diagnosis and management.
Three imaging modalities clearly complement one another and the choice of application will depend upon factors including the patient's transthoracic echogenicity, the availability of magnetic resonance imaging or transesophageal echocardiography, cost, and the physical status of the patient.
[Malignant angiosarcoma of the right atrium in pregnancy. Diagnostic and therapeutic problems].
A 27-year old pregnant woman with a malignant primary angiosarcoma of the right atrium who underwent emergency surgery because of progressive heart failure due to obstruction of the tricuspidal valve by the tumor died 20 months after onset of symptoms.
Cardiac fibroma: clinicopathologic correlates and surgical treatment.
The clinicopathologic findings of 23 patients with cardiac fibroma are presented and it is concluded that fibromas are congenital tumors that are frequently discovered in adolescents and adults.
Cardiac masses: assessment by MR imaging.
The ability to provide a global view of cardiac anatomy and other unique capabilities of MR imaging give the procedure an important role in the diagnosis and preoperative assessment of cardiac masses.
Pathology of surgically excised primary cardiac tumors.
The histologic feature that most frequently predicted an adverse clinical outcome was the presence of mitotic figures, although highly cellular tumors and those with necrosis also tended to have a malignant course.
Surgical treatment of cardiac tumors: a 25-year experience.
An aggressive surgical approach is advocated, especially in patients with benign tumors, who can expect an excellent outcome and for patients with malignant or metastatic disease, palliation and cure are also possible if aggressive surgical actions are taken.
Cardiac tumors and thrombus: evaluation with MR imaging.
MR imaging is useful in the diagnosis of cardiac mass lesions and can be used effectively in addition to 2D echocardiography to increase the certainty of diagnosis, and it is useful when 2D Echocardography is equivocal or inadequate.
Primary angiosarcoma of the right atrium detected by magnetic resonance imaging.
MRI demonstrated a heterogeneous mass with focal areas of high- and low-signal intensity in the right atrium, suggesting that MRI may allow characterization of cardiac tumors.
Diagnosis of noninfective cardiac mass lesions by two-dimensional echocardiography. Comparison of the transthoracic and transesophageal approaches.
Data indicate that transesophageal echocardiography leads to a clinically relevant improvement of the diagnostic potential in patients in whom cardiac masses are suspected or have to be excluded in order to ensure the safety of clinical procedures.