ECHO 2013 / Cardiac Tumors and Masses

Large fixed defect in the apical anterior and lateral walls

INTRACARDIAC THROMBI

•Thrombus is the most common cardiac mass.

•Occur in the setting of underlying heart disease

(MI, aneurysm, CMP, valvular dz, prosthetic valves, atrial arrhythmia).

•Recent vs. organized based on tissue characterization

•Echocardiographic predictors of embolization

–High risk features - mobility, pedunculated, size

LV Thrombus

LV TRABECULATION VS. THROMBUS

Pseudomasses

Right Atrium: Atrial Septal Aneurysm

Cardiac Masses

Benefits of CT/MR

•CT/MR can provide detailed delineation of cardiac masses, location and extent of myocardial involvement and influence on cardiac function.

•Primary benign and malignant cardiac tumors have characteristic features. Tissue characterization narrows diagnostic possibilities.

•CMR evidenced vascularity can different neoplasm from thrombus.