An unusual presentation of a large cardiac mass

Cohen, Mitchell I.; Collazo, Lucas; Firan, Alexandru; Dangol, Amir; Atkins, Melany

doi:10.1017/s104795111900249x

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2022

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“…7 The clinical presentation is varied, ranging from the asymptomatic patient to sudden cardiac death. 49,50 There is also an increased risk of bleeding. Echocardiographically, the tumour appears as a heterogeneous mass and at cardiac magnetic resonance it is isointense on T1, hyperintense on T2-weighted images, and show avid enhancement following intravenous gadolinium injection.…”

Section: Myxomasmentioning

confidence: 99%

Cardiac tumours in children: a single-centre experience and literature review

2022

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Cardiac tumours are extremely rare in children. Although more than 90% are benign, children can develop obstructive or embolisation derived symptoms, arrhythmias, constitutional symptoms, cardiac tamponade, or even sudden death. Although the majority are asymptomatic, and some spontaneously regress, appropriate follow-up is needed on a case-by-case basis, as patients may develop late symptoms. Definitive diagnosis is only possible through histological analysis; however, it is possible to infer tumour type with a high grade of certainty based on imaging features, particularly cardiac magnetic resonance. Surgical resection is advocated for those causing symptoms, obstruction, cardiac dysfunction, and high risk of embolisation. The aim of this review is to present the state of the art related to cardiac tumours in the paediatric population, in the context of our own experience.

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Section: Myxomasmentioning

confidence: 99%