Cardiac Disease States , Myxomas,tumors, Masses And Missiles

The primary benign tumor that is found primarily in the LA is _____. This is the most common BENIGN tumor found in adults.

____ % of myxomas found in adults are benign.

A myxoma is usually attached to the ______by a stalk on the____ atrial side.

Pedunculated means it is attached by a ____.

The texture of the myxoma is usually different than the _____.

It is smooth, rounder or oval.

A myxoma often hinders proper closure of the valve during ______ causing _____ to happen.

If the myxoma is mobile and it drops through the valve during diastole, it will mimic mitral or tricuspid ______.

The size of the myxoma can be estimated by direct measurements with the calipers

Size of myxoma measured with planimetry

Complications of myxoma are

Treatment of myxoma is

Another benign tumor that affects the valves(most common) is the ______.

With Papillary fibroelastoma, the valve most commonly affected in adults is/are ______. In children the valve most commonly affected is____.

With Papillary fibroelastoma the tumor is on the ______ stream side of the valve.

The Papillary fibroelastoma tumor rarely exceeds ___ cm in diameter. It is a dense, Mobil mass with a consistency that closely resembles the _____ ____.

With Papillary tumor, the treatment is _____ and____.

Another BENIGN tumor is FIBROMA. It's a _____ tumor that is frequently embedded in the myocardial wall of the _____ or the ______.

FIBROMA typically presents during ______. It is associated with other complications such as dysrhythmias, ______, heart failure and sudden death.

Treatment for Fibroma is ____,or ____ with children who have a very large LV FIBROMA.

Benign tumors and their locations.

1-5

_______ is a well encapsulated tumor that is composed of mature fat cells. Very large in size and may have an associated ________. This is the second most common BENIGN tumor. Most commonly located in the ____. Looks like a_____ in appearance. Treatment can be ____.

______ is a yellowish gray tumor(s) found in the _____ walls or intracavity. Multiple tumors might be present. This is the most common cardiac tumor found in _____. ____ Is the most common sight. Many present within the first year of life and greater than 90% by the age of 15.

With Rhabdomyoma, it is associated with _____ ______

With Rhabdomyoma, ____ may result due to an obstruction of the conduction pathways and ventricular tachycardia. Treatment is _____ but can be impossible to remove.

Two types of primary malignant tumors are _____ and_____.

_______ is the most common primary malignant tumor. It is seen most often in the_____. These tumors often have an association with____ and_____.

_____ is a malignant tumor with a wide variety of types to include rhabdomyosaroma, fibrosarcoma, and osteosarcoma. It is most commonly seen in the____. May need surgery to obtain an accurate diagnosis. Prognosis is poor.

Secondary tumors (metatastic) are more common than primary malignant tumors. Most secondary metastasize from lymphoma, melanoma, lung cancer and breast cancer. They freq travel to the ____, then the____, and then the _____. The tumors that metastasize from the IVC into the RA and RV are _____ and_______ cancer. The tumors that metastasize from the pulmonary veins into the LA are _____ cancer. Patients presents with PEff, tamponade,HF and dysrhythmias. Prognosis depends on primary treatment.

Extracardiac tumors is a tumor anywhere in the vicinity of the heart. ____ involvement is common.

_____ heart disease is the result of a metastisizing carcinoid tumor (usually from the____ or ____ ) that secretes serotonin. If tumor metastasize to the liver, the serotonin is deposited on the _____ linings of the right heart. Serotonin does not travel to the left heart because the serotonin is inactivated in the _____.

The echo findings with carcinoid heart disease are:

TV appears______ and____, they do not open and close.

TR is often_____ along with____.

TS and PS is rare

Leads to right heart ____

A _____ usually forms in areas of akinesis, or dyskinesis. Always document ______ abnormalities, ventricular ______ and chamber ____.

There are different types of thrombus.1-4

Left atrial thrombus is usually associated with mitral ____, and left atrial _____ and _____.

A ____ is a foreign body, such as a bullet, knife, or nail etc.

With echo, a missile appears as an ______ structure with strong ______. Rule out all of these p. 272

Things that are mistaken for masses or thrombus. Aberrant trabeculation in 4C,3C

Christa terminalis in RA

Eustachian valve, by IVC in RA.

Eustachian valve, by IVC in RA.

Normal LAA

Dilated coronary sinus

Aortic valve veg secondary

Carcinoid heart disease is caused from a build up of____ in the endocardial lining.