scholarly journals Case Report: A Tale of a Cardiac Mass: Looks Like a Papillary Fibroelastoma, Acts Like a Non-bacterial Thromboendocarditis

2021 ◽  
Vol 8 ◽  
Author(s):  
Ali Ahmad ◽  
Arman Arghami ◽  
Edward A. El-Am ◽  
Thomas A. Foley ◽  
Reto D. Kurmann ◽  
...  
Keyword(s):  
Brain Mri ◽  
Cardiac Mass ◽  
Papillary Fibroelastoma ◽  
Cardiac Tumors ◽  
Elderly Male ◽  
Alternative Interventions ◽  
Multiple Imaging ◽  
Cardiac Evaluation ◽  
Mass Lesions ◽  
Valvular Tumor

Introduction: Benign cardiac tumors and tumor like conditions are a heterogeneous collection of mass lesions that vary widely in their characteristics, such as presentation, size, and location. In some instances, these tumors are found incidentally, and therefore a broad differential diagnosis should be considered.Case: An elderly male with significant unintentional weight loss and a high risk for cancer presented with an incidental valvular cardiac mass. The mass was thought to be a non-bacterial thromboendocarditis on initial clinical evaluation. After multiple imaging modalities, the mass was suspected to be a papillary fibroelastoma (PFE), which was resected due to high stroke risk and multiple previous chronic infarcts on brain MRI.Conclusion: This case highlights the need for a comprehensive cardiac evaluation of a valvular tumor to discern the etiology and rule out other underlying pathophysiological processes that may require alternative interventions to cardiac surgery.

scholarly journals Papillary Fibroelastoma of the Ascending Aorta

2019 ◽  
Vol 7 ◽  
pp. 232470961984037
Author(s):  
Karim M. Al-Azizi ◽  
Mohanad Hamandi ◽  
Ronald Baxter ◽  
Anita Krueger ◽  
Alexander W. Crawford ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Ascending Aorta ◽  
Embolic Stroke ◽  
Papillary Fibroelastoma ◽  
Cardiac Tumors ◽  
Unusual Site ◽  
Sinotubular Junction ◽  
Primary Cardiac Tumors

Papillary fibroelastomas are rare benign primary cardiac tumors. They are typically found on valvular surfaces, most commonly, the aortic valve. In this article, we report a case of papillary fibroelastoma arising from the sinotubular junction of the ascending aorta, a rare and unusual site causing an embolic stroke.

scholarly journals Cardiac Plasmacytoma: A Rare Clinical Entity

2014 ◽  
Vol 41 (5) ◽  
pp. 554-557 ◽  
Author(s):  
Agathi-Rosa Vrettou ◽  
L. Thompson Heffner ◽  
Peter J. Rossi ◽  
Stephen D. Clements
Keyword(s):  
Computed Tomography ◽  
Case Reports ◽  
Clinical Entity ◽  
Emission Tomography ◽  
Cardiac Tumors ◽  
Optimal Management ◽  
Rare Clinical Entity ◽  
Positron Emission ◽  
Multiple Imaging ◽  
The Subject

Primary malignant cardiac tumors are rare. Among these tumors, cardiac plasmacytoma is extremely rare and is the subject of few case reports. We present the case of a 73-year-old man who had isolated cardiac plasmacytoma 26 years after successful treatment of an axillary plasmacytoma. Multiple imaging methods—including echocardiography, cardiac magnetic resonance, and positron-emission tomography/computed tomography—were valuable and complementary to each other in this patient's diagnosis and optimal management. His case illustrates the use of these techniques in the successful diagnosis and treatment of a rare clinical entity, cardiac plasmacytoma.

Three-dimensional Imaging of Cardiac Mass Lesions by Transesophageal Echocardiographic Computed Tomography

1994 ◽  
Vol 7 (6) ◽  
pp. 561-570 ◽  
Author(s):  
I. Kupferwasser ◽  
S. Mohr-Kahaly ◽  
R. Erbel ◽  
T. Makowski ◽  
N. Wittlich ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Three Dimensional ◽  
Cardiac Mass ◽  
Three Dimensional Imaging ◽  
Mass Lesions

scholarly journals Echogenic cardiac mass in the left atrium and associated supraventricular tachycardia in a neonate

2017 ◽  
Vol 145 (7-8) ◽  
pp. 394-396
Author(s):  
Ljiljana Pejcic ◽  
Radmila Mileusnic-Milenovic ◽  
Marija Ratkovic-Jankovic
Keyword(s):  
Sinus Rhythm ◽  
Left Atrium ◽  
Supraventricular Tachycardia ◽  
Cardiac Mass ◽  
Structural Defects ◽  
Cardiac Tumors ◽  
Adequate Treatment ◽  
Long Term Outcome ◽  
One Year

Introduction. Primary cardiac tumors in children are rare and the majority of them are diagnosed before the age of one year. They are mainly rhabdomyomas and have a tendency to regress. The incidence of arrhythmias is not well-defined, depending on the size and location of tumors. Case outline. The authors report a female neonate with ongoing fetal supraventricular tachycardia (SVT). Delivery by urgent cesarean section was performed with neither fetal echocardiography nor fetal antiarrhythmic drug intervention. Electrocardiogram confirmed tachycardia with narrow QRS complex at a rate of 260 beats/min. converting to sinus rhythm after a third dose of intravenous bolus injection of adenosine-5?-triphosphate. But the rhythm reverted to SVT showing refractory supraventricular reentrant tachycardia. Echocardiography performed after conversion to sinus rhythm showed an echogenic, well circumscribed mass in the left atrium, fixed to the primum atrial septum without other structural defects. SVT was treated by a bolus of amiodarone followed by an intravenous infusion. Long-term management with oral amiodarone and beta blocker had a good response. During the one-year follow-up echocardiograms were performed every month showing complete regression of cardiac mass, and there has been no recurrence of tachycardia since neonatal period. Conclusion. Tumor regression and a good long-term outcome in our patient suggest that it was probably a small but unfavorably positioned rhabdomyoma, associated with fetal and perinatal SVT. Prognosis and outcome of the disease depends on timely diagnosis and prompt and adequate treatment of associated life-threatening arrhythmias.

Cardiac Tumors and the Nevoid Basal Cell Carcinoma Syndrome

PEDIATRICS ◽  
1991 ◽  
Vol 87 (5) ◽  
pp. 725-728
Author(s):  
JOHN L. COTTON ◽  
RAE-ELLEN W. KAVEY ◽  
CATHERINE E. PALMIER ◽  
WALTER W. TUNNESSEN
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Cardiac Tumors ◽  
Multisystem Disease ◽  
Initial Symptoms ◽  
Wide Range ◽  
Cardiac Evaluation ◽  
Characteristic Features ◽  
Cardiac Status

Nevoid basal cell carcinoma syndrome is a multisystem disease with a wide range of initial symptoms that can be seen at any age. The most characteristic features are vertebral or rib anomalies, intracranial falx calcification, multiple basal cell carcinomas, odontogenic keratocysts of the jaw, and palmar and/or plantar pits. Pediatricians need to be aware that if any one of these major anomalies is seen, this diagnosis should be considered. There now appears to be an established association between cardiac tumors and nevoid basal cell carcinoma syndrome. Primary cardiac tumors have been associated with cerebral tuberous sclerosis and neurofibromatosis,20,21 and evaluation of cardiac status is recommended when these genetically determined syndromes are diagnosed. This communication should serve to alert pediatricians to the need for complete cardiac evaluation and genetic counseling when a diagnosis of nevoid basal cell carcinoma is made.

scholarly journals QuickBrain MRI for the detection of acute pediatric traumatic brain injury

2017 ◽  
Vol 19 (2) ◽  
pp. 259-264 ◽  
Author(s):  
David C. Sheridan ◽  
Craig D. Newgard ◽  
Nathan R. Selden ◽  
Mubeen A. Jafri ◽  
Matthew L. Hansen
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sensitivity And Specificity ◽  
Imaging Modality ◽  
Brain Mri ◽  
Ct Imaging ◽  
Pediatric Traumatic Brain Injury ◽  
Mri Protocol ◽  
Level I ◽  
Mass Lesions

OBJECTIVE The current gold-standard imaging modality for pediatric traumatic brain injury (TBI) is CT, but it confers risks associated with ionizing radiation. QuickBrain MRI (qbMRI) is a rapid brain MRI protocol that has been studied in the setting of hydrocephalus, but its ability to detect traumatic injuries is unknown. METHODS The authors performed a retrospective cohort study of pediatric patients with TBI who were undergoing evaluation at a single Level I trauma center between February 2010 and December 2013. Patients who underwent CT imaging of the head and qbMRI during their acute hospitalization were included. Images were reviewed independently by 2 neuroradiology fellows blinded to patient identifiers. Image review consisted of identifying traumatic mass lesions and their intracranial compartment and the presence or absence of midline shift. CT imaging was used as the reference against which qbMRI was measured. RESULTS A total of 54 patients met the inclusion criteria; the median patient age was 3.24 years, 65% were male, and 74% were noted to have a Glasgow Coma Scale score of 14 or greater. The sensitivity and specificity of qbMRI to detect any lesion were 85% (95% CI 73%–93%) and 100% (95% CI 61%–100%), respectively; the sensitivity increased to 100% (95% CI 89%–100%) for clinically important TBIs as previously defined. The mean interval between CT and qbMRI was 27.5 hours, and approximately half of the images were obtained within 12 hours. CONCLUSIONS In this retrospective pilot study, qbMRI demonstrated reasonable sensitivity and specificity for detecting a lesion or injury seen with neuroimaging (radiographic TBI) and clinically important acute pediatric TBI.

scholarly journals Myocardial contrast echocardiography in the diagnosis of a left ventricular hemangioma

2016 ◽  
Vol 10 (2) ◽  
pp. 151
Author(s):  
Kyriacos Papadopoulos ◽  
Constantinos Makrides
Keyword(s):  
Myocardial Perfusion ◽  
Transthoracic Echocardiography ◽  
Contrast Echocardiography ◽  
Left Ventricular ◽  
Cardiac Mass ◽  
Cardiac Tumors ◽  
Final Report ◽  
Imaging Tool ◽  
Hypervascular Tumor ◽  
Primary Cardiac Tumors

Myocardial perfusion contrast echocardiography is an imaging tool for the assessment of myocardial microcirculation. It can also be used for the evaluation of the relative perfusion of a cardiac mass. Cardiac hemangiomas are rare tumors, accounting for only 2.8% of all benign primary cardiac tumors. We report a case of a 17-year-old man with a left ventricular hemangioma detected with transthoracic echocardiography. Myocardial perfusion contrast echocardiography was used to evaluate the vascularity of the cardiac mass. Using this technique malignant and hypervascular (<em>e.g</em>., hemangioma) tumors display persistence of contrast enhancement compared to the surrounding myocardium. The mass was successfully removed and the final report from pathology showed that the left ventricular mass was a hemangioma, a hypervascular tumor

scholarly journals Subaortic Membrane Papillary Fibroelastoma

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Robyn Bryde ◽  
Kevin Landolfo ◽  
Jordan C. Ray ◽  
Pragnesh Parikh ◽  
Qihui “Jim” Zhai ◽  
...  
Keyword(s):  
Immunohistochemical Staining ◽  
Visual Inspection ◽  
Papillary Fibroelastoma ◽  
Cardiac Tumors ◽  
Transthoracic Echocardiogram ◽  
Thromboembolic Complications ◽  
Transesophageal Echocardiogram ◽  
Open Operation ◽  
Mobile Mass ◽  
Subaortic Membrane

A 61-year-old male presented for an annual exam and received a transthoracic echocardiogram (TTE) which revealed a mobile mass arising from a subaortic membrane. Further investigations with a transesophageal echocardiogram (TEE) and cardiac computerized tomography angiography (CTA) confirmed the presence of a mobile 9 mm×3 mm mass on a subaortic membrane. Cardiothoracic surgery was performed with an open operation removing the mass and subaortic membrane. Upon visual inspection, the mass was likened to a sea anemone and immunohistochemical staining performed pathologically confirmed the diagnosis of cardiac papillary fibroelastoma. This case represents the first reported example of a cardiac papillary fibroelastoma (PFE) arising from a subaortic membrane. Although PFEs are benign cardiac tumors, proper identification and consideration for excision of these lesions may be indicated to prevent thromboembolic complications.

scholarly journals Inter- and Intra-Scanner Variability of Automated Brain Volumetry on Three Magnetic Resonance Imaging Systems in Alzheimer’s Disease and Controls

2021 ◽  
Vol 13 ◽  
Author(s):  
Mandy Melissa Jane Wittens ◽  
Gert-Jan Allemeersch ◽  
Diana Maria Sima ◽  
Maarten Naeyaert ◽  
Tim Vanderhasselt ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Imaging System ◽  
Brain Mri ◽  
Intraclass Correlation ◽  
Imaging Systems ◽  
Resonance Imaging ◽  
Brain Volumes ◽  
Brain Volumetry ◽  
Multiple Imaging

Magnetic Resonance Imaging (MRI) has become part of the clinical routine for diagnosing neurodegenerative disorders. Since acquisitions are performed at multiple centers using multiple imaging systems, detailed analysis of brain volumetry differences between MRI systems and scan-rescan acquisitions can provide valuable information to correct for different MRI scanner effects in multi-center longitudinal studies. To this end, five healthy controls and five patients belonging to various stages of the AD continuum underwent brain MRI acquisitions on three different MRI systems (Philips Achieva dStream 1.5T, Philips Ingenia 3T, and GE Discovery MR750w 3T) with harmonized scan parameters. Each participant underwent two subsequent MRI scans per imaging system, repeated on three different MRI systems within 2 h. Brain volumes computed by icobrain dm (v5.0) were analyzed using absolute and percentual volume differences, Dice similarity (DSC) and intraclass correlation coefficients, and coefficients of variation (CV). Harmonized scans obtained with different scanners of the same manufacturer had a measurement error closer to the intra-scanner performance. The gap between intra- and inter-scanner comparisons grew when comparing scans from different manufacturers. This was observed at image level (image contrast, similarity, and geometry) and translated into a higher variability of automated brain volumetry. Mixed effects modeling revealed a significant effect of scanner type on some brain volumes, and of the scanner combination on DSC. The study concluded a good intra- and inter-scanner reproducibility, as illustrated by an average intra-scanner (inter-scanner) CV below 2% (5%) and an excellent overlap of brain structure segmentation (mean DSC &gt; 0.88).

scholarly journals Cardiac Papillary Fibroelastoma with Coronary Artery Anomaly: A Case Report

2017 ◽  
Vol 20 (2) ◽  
pp. 052
Author(s):  
Hongfei Xu ◽  
Liangwei Chen ◽  
Chengmeng Ye ◽  
Kwabena Gyabaah Owusu-Ansah ◽  
Yiming Ni ◽  
...  
Keyword(s):  
Tumor Recurrence ◽  
Papillary Fibroelastoma ◽  
Cardiac Tumors ◽  
High Resolution Imaging ◽  
Aortic Cusp ◽  
Cardiac Neoplasms ◽  
Resected Tumor ◽  
Resolution Imaging ◽  
Primary Cardiac Tumors

Primary cardiac tumors are extremely rare with occurrence range of about 0.0017-0.28%. Papillary fibroelastoma is a benign cardiac neoplasms. Improvement in the early diagnosis has been made possible with the help of high-resolution imaging technology, such as transesophageal echocardiography, combined with ischemic or embolic complications which patients typically present with clinically. We herein present a 51-year-old female patient with a papillary fibroelastoma on the aortic cusp, with its origin from the left coronary sinus. Her only clinical manifestation was angina-like chest pain and syncope. Surgical resection with aortic valve replacement due to the defect as a result of the resected tumor was performed with the patient on cardiopulmonary bypass. The patient recovered uneventfully and was discharged.  A 2-year follow-up showed an intact valve without tumor recurrence.

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