Cardiac Masses Flashcards
1
Q
Myxomas
A
75% LA at fossa ovalis 40% primary cardiac tumors 10% familial (most sporatic) Multiple tumors in 50% familial cases (Carney complex - pigmented skin lesions, endocrine overactivity - tumors in atypical locations) Non-specific constitutional sx -> SCD IL-6 secretion -> consitutional sx valve damage/MR Syncopal episodes from obstruction Embolic sx (blue toes etc)
2
Q
RCC Met to heart
A
IVC->RA (not LA/LV)
3
Q
Papillary fibroelastomas (PFE)
A
arise from endothelium on valves 75% valvular tumors TIAs/CVA mostly AV/MV flower like with stalk (sea anemone) Surgery A/C
4
Q
Carney complex
A
Cardiac Myxoma - atypical locations
Cutaneous myxoma or pigmented lesions
Endocrine tumors
ie pigmented nodular adrencortical diseae -> cushings
5
Q
Loeffer’s hypereosinophillic syndrome
A
endocarditis
6
Q
IVC mass invading heart
A
MC=RCC
7
Q
MC Secondary (Met) tumors to heart
A
LUng, met melanoma, breast, leukemia, lymphoma, esophageal, renal
8
Q
MC Primary cardiac malignant tumors
A
Sarcoma
Lymphomas
9
Q
MC masses
A
metastatic dz
