ECHO 2013 / Cardiac Tumors and Masses

Thrombus or Tumor

61 yo with metastatic breast ca

Tumor or Thrombus

23 yo with melanoma and RA mediport

Tumor or Thrombus

Pre-contrast

Intracavitary metastatic mass with a

small rim of necrosis/thrombus

Post-contrast

Evaluation of Cardiac Masses

•TTE, TEE, 3D and Contrast Echo

–well suited to assess cardiac anatomy and mass characteristics; discriminate between a true vs. pseudo - mass

•CT and CMR can provide important ancillary data

•Need to integrate clinical data to generate a differential diagnosis and guide clinical decision making

•Not a pathologic diagnosis

Thank You

Normal Variant Simulating Mass

Right Ventricle: Moderator Band

Masses on the Aortic Valve

•Papillary fibroelastoma

•Lambl’s excrescences

•Fenestration of the aortic valve

•Bacterial or Non-bacterial thrombotic endocarditis