1. Cardiac p35 (Tumours)

Question 1

Cardiac mets - trivia (4)

Answer 1

30x more common than primary cardiac malignancy.
Pericardium is commonest site affected.
Commonest primary is lung
Melanoma may involve myocardium.

Question 2

Cardiac mets - association (2)

Answer 2

Commonest manifestation is pericardial effusion.
Second commonest - pericardial lymph node

Question 3

Angiosarcoma - trivia

Answer 3

Commonest cardiac primary in adults

Question 4

Angiosarcoma - anatomy (3)

Answer 4

Commonly RA and tend to involve pericardium
Right sided heart failure and/or tamponade.
Bulky and heterogenous.

Question 5

Angiosarcoma - imaging (2)

Answer 5

Sun-ray appearance
enhancement of diffuse subtype as it grows along perivascular spaces associated with epicardial vessels.

Question 6

Left atrial myxoma - trivia

Answer 6

Commonest malignant primary cardiac tumour in adults (rare in kids)

Question 7

Left atrial myxoma - association (2)

Answer 7

MEN syndromes,
Blue nevi (carney complex).

Question 8

Left atrial myxoma - imaging (4)

Answer 8

Attached to interatrial septum.
May be calcified.
May prolapse through mitral valve.
Will enhance with Gd

Question 9

Rhabdomyoma - trivia

Answer 9

Commonest fetal cardiac tumour.

Question 10

Rhabdomyoma - anatomy (2)

Answer 10

They are hamartomas.
Prefer left ventricle

Question 11

Rhabdomyoma - association

Answer 11

Tuberous sclerosis.

Question 12

Rhabdomyoma - prognosis (2)

Answer 12

Most regress spontaneously.
more likely to regress if associated with tuberous sclerosis.

Question 13

Fibroma - trivia

Answer 13

Second commonest cardiac tumour in children

Question 14

Fibroma - imaging (3)

Answer 14

Prefer IV septum.
Dark on T1 and T2.
Enhance brightly on perfusion and late Gd.

Question 15

Fibroelastoma - trivia (2)

Answer 15

Commonest neoplasm to involve cardiac valves.
Systemic emboli common, esp if left side.

Question 16

Fibroelastoma - imaging (2)

Answer 16

80% on left valves.
Highly mobile on SSFP cine.