scholarly journals Frequency of metastatic tumors in the heart

2005 ◽  
Vol 62 (12) ◽  
pp. 915-920 ◽  
Author(s):  
Sasa Rafajlovski ◽  
Vujadin Tatic ◽  
Srbislav Ilic ◽  
Vladimir Kanjuh
Keyword(s):  
Magnetic Resonance Imaging ◽  
Pericardial Effusion ◽  
Inferior Vena ◽  
Vena Cava ◽  
Cytological Analysis ◽  
Resonance Imaging ◽  
Metastatic Tumors ◽  
Primary Tumors ◽  
The Right ◽  
Primary Localization

Introduction. Secondary or metastatic tumors in the heart occur more frequently than primary ones, and, according to the published series, their frequency found in autopsic material ranges from 1.6% to 20.6%. Metastatic tumors in the heart are rarely clinically symptomatic, and, therefore, they are rarely diagnosed within the lifetime. They are mostly diagnosed at autopsy. The aim of this study was to analyze the frequency of metastatic tumors of the heart, their primary localization, as well as the localization of the metastases found in the autopsic material within the period 1972?2004. Metods. During the autopsy of the patients died of metastatic tumors, we microscopically and macroscopically analyzed all the organs and tissues to determine the metastases of primary tumors in other organs, especially in the heart and pericardium. Results. Within the period from 1972?2004, 11 403 autopsies were performed. In 2 928 (25.6%) out of 11 403 autopsies, the presence of malignant tumor was diagnosed, and in 79 (2.7%) of these cases, metastasis of the heart was found out. Only in 5 of the cases, the presence of metastasis in the heart was diagnosed during the lifetime. The most frequent metastases in the heart were caused by pulmonary carcinoma (18 cases), leukemia and malignant lymphoma (8 cases, each), then pancreatic and breast carcinoma, while the metastases of other carcinomas were rather rare. In 40 (60.76%) cases, the metastasis was localized in the myocardium, but more often in the left ventricle, in 24 (30.38%) cases in the pericardium, in 4 cases in the epicardium and in the 3 of them in the mitral and tricuspid valve. Only in one case of renal carcionoma, metastasis was found in the right atrium and it occurred by spreading (dissemination) through the lumen of the inferior vena cava. Conclusion. Metastatic tumors of the heart are rather rare, and rarely clinically symptomatic, and, thus, rarely diagnosed during life. The methods of choice for the diagnosis of the metastasis in the heart are echocardiography, computerized tomography, magnetic resonance imaging, cytological analysis of the pericardial effusion and biopsy. The treatment includes surgery, chemotherapy and radiotherapy.

Use of Cardiac Magnetic Resonance Imaging Based Measurements of Inferior Vena Cava Cross-Sectional Area in the Diagnosis of Pericardial Constriction

2015 ◽  
Vol 66 (3) ◽  
pp. 231-237 ◽  
Author(s):  
Kate Hanneman ◽  
Paaladinesh Thavendiranathan ◽  
Elsie T. Nguyen ◽  
Hadas Moshonov ◽  
Rachel Wald ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cardiac Magnetic Resonance ◽  
Inferior Vena ◽  
Vena Cava ◽  
Area Ratio ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Resonance Imaging ◽  
Cross Sectional ◽  
Aortic Area

Purpose To evaluate the value of cardiac magnetic resonance imaging (MRI)–based measurements of inferior vena cava (IVC) cross-sectional area in the diagnosis of pericardial constriction. Methods Patients who had undergone cardiac MRI for evaluation of clinically suspected pericardial constriction were identified retrospectively. The diagnosis of pericardial constriction was established by clinical history, echocardiography, cardiac catheterization, intraoperative findings, and/or histopathology. Cross-sectional areas of the suprahepatic IVC and descending aorta were measured on a single axial steady-state free-precession (SSFP) image at the level of the esophageal hiatus in end-systole. Logistic regression and receiver-operating curve (ROC) analyses were performed. Results Thirty-six patients were included; 50% (n = 18) had pericardial constriction. Mean age was 53.9 ± 15.3 years, and 72% (n = 26) were male. IVC area, ratio of IVC to aortic area, pericardial thickness, and presence of respirophasic septal shift were all significantly different between patients with constriction and those without ( P < .001 for all). IVC to aortic area ratio had the highest odds ratio for the prediction of constriction (1070, 95% confidence interval [8.0-143051], P = .005). ROC analysis illustrated that IVC to aortic area ratio discriminated between those with and without constriction with an area under the curve of 0.96 (95% confidence interval [0.91-1.00]). Conclusions In patients referred for cardiac MRI assessment of suspected pericardial constriction, measurement of suprahepatic IVC cross-sectional area may be useful in confirming the diagnosis of constriction when used in combination with other imaging findings, including pericardial thickness and respirophasic septal shift.

scholarly journals Effect of Right-Lateral Versus Left-Lateral Tilt Position on Compression of the Inferior Vena Cava in Pregnant Women Determined by Magnetic Resonance Imaging

2019 ◽  
Vol 128 (6) ◽  
pp. 1217-1222 ◽  
Author(s):  
Nobuko Fujita ◽  
Hideyuki Higuchi ◽  
Shiori Sakuma ◽  
Shunichi Takagi ◽  
Mahbub A. H. M. Latif ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Inferior Vena Cava ◽  
Pregnant Women ◽  
Inferior Vena ◽  
Vena Cava ◽  
Resonance Imaging ◽  
Lateral Tilt

scholarly journals Evaluation of renal anomalies, inferior vena cava variations, and left renalvein variations by lumbar magnetic resonance imaging in 3000 patients

2017 ◽  
Vol 47 ◽  
pp. 1866-1873 ◽  
Author(s):  
Alper DİLLİ ◽  
Fatma Sevin COŞAR AYAZ ◽  
Keziban KARACAN ◽  
Kürşad ZENGİN ◽  
Ümit Yaşar AYAZ ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Resonance Imaging ◽  
Renal Anomalies

Fast Magnetic Resonance Imaging in the Evaluation of Tumoral Obstructions of the Inferior Vena Cava

1992 ◽  
Vol 148 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Alain Rahmouni ◽  
Didier Mathieu ◽  
Jean-François Berger ◽  
Jean-Luc Montazel ◽  
Dominique K. Chopin ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Resonance Imaging ◽  
Fast Magnetic Resonance Imaging

Magnetic Resonance Imaging of Deep Venous Thrombosis with Anomalous Inferior Vena Cava

1997 ◽  
Vol 12 (3) ◽  
pp. 115-117
Author(s):  
A. J. Liddicoat ◽  
A. R. Moody ◽  
N. J. M. London
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Inferior Vena Cava ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Inferior Vena ◽  
Vena Cava ◽  
Resonance Imaging ◽  
Anomalous Inferior Vena Cava ◽  
Postoperative Deep Venous Thrombosis

Design: Case report. Setting: Leicester Royal Infirmary. Patients: A 17-year-old male patient presenting with postoperative deep venous thrombosis secondary to anomalous inferior vena cava. Interventions: Imaging to establish the diagnosis, anticoagulation and follow-up. Main outcome measures: Serial magnetic resonance imaging and the clinical condition of the patient were assessed. Results: The patient made a good recovery and did not require a laparotomy. Conclusions: Magnetic resonance imaging is very useful in the detection of central deep venous thrombosis and anomalous inferior vena cava and should be considered in young patients with postoperative deep venous thrombosis.

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