DMS606 - Myxomas, Masses & Missiles

Primary malignant intracardiac tumors include myxoma, papillary fibroelastoma, lipoma, fibroma, and rhabdomyoma.

The pt. is rushed to the ER after accidentally shooting a nail from a nail gun into his chest, echo is ordered to r/o:

Echo shows fixed, rigid TV leaflets, severe TR and an elevated RVSP, what's the most likely diagnosis?

A fibroma is associated with other complications such as _____.

Myxoma often hinders diastolic filling, inhibits proper valve closure, and can result in secondary stenosis.

Rhabdomyoma is typically associated with _____.

Which of the following is true of angiosarcoma?

On echo, a missile will appear as an echogenic structure with strong reverberations.

Secondary metastatic tumors frequently travel _______.

Rhabdomyoma is a yellowish-gray tumor found anywhere in the heart, but is frequently in the ______.

A fibroma is a bulky tumor that is frequently embedded in the ______.

Myxoma _____.

____ may require surgical excision depending on size, mobility, and associated symptoms.

Heart transplant is commonly indicated in children with a left ventricular fibroelastoma.

Papillary fibroelastoma is the most common valvular tumor; in adults, the ______ are usually involved.

_____ is the most common primary cardiac tumor found in children, may are diagnosed within the 1st year of life.

Sarcoma is a primary benign tumor that most commonly begins in the RA or on the pericardium.

TEE is indicated primarily to rule out _____ in the Afib patient prior to cardioversion.

While interrogating the apex for thrombus, the sonographer should utilize different techniques such as ______.

_____ is a dense, mobile mass, rarely > 1 cm, with a consistency that closely resembles the chordae tendineae.

A lipoma is an encapsulated tumor composed of mature fat cells.

______ is an encapsulated tumor composed of mature fat cells that is usually soft and large.

Lipomatous hypertrophy of the IAS is a fatty infiltration of the fossa ovalis.

Pt. w/ new diastolic murmur, weight loss, chest pain, hemoptysis, and clubbing of the fingertips, what's the diagnosis?

If the patient is a surgical candidate, immediate surgical removal of the myxoma is recommended.