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Selective coronary angiography in intracardiac tumors

S Sharma1, U Sundaram, Y Loya

  • 1Department of Cardiology, BYL Nair Hospital and TN Medical College, Bombay, India.

Journal of Interventional Cardiology
|May 8, 1993
PubMed

Insights

Cardiac catheterization and coronary angiography in patients with cardiac tumors revealed neovascularization and displacement of coronary arteries. These invasive studies are safe and can aid in diagnosis.

Area of Science:

  • Cardiology
  • Oncology
  • Diagnostic Imaging

Background:

  • Intracardiac tumors are rare and can present with diverse clinical manifestations.
  • Accurate diagnosis and characterization of cardiac tumors are crucial for management.

Purpose of the Study:

  • To evaluate the safety and diagnostic utility of cardiac catheterization and selective coronary angiography in patients with intracardiac tumors.

Main Methods:

  • Cardiac catheterization and selective coronary angiography were performed in ten patients.
  • Patients included those with left atrial myxoma, right atrial myxoma, angiosarcoma of the right heart, and a right ventricular tumor.

Main Results:

  • Coronary arteriographic findings included neovascularization (8 patients), filling defects due to emboli (1 patient), and coronary artery displacement (1 patient).
  • Tumor neovascularization from coronary artery branches was consistently observed in patients with myxoma.
  • One patient with angiosarcoma exhibited hemodynamics indicative of cardiac compression.

Conclusions:

  • Invasive studies like cardiac catheterization and coronary angiography are safe for patients with intracardiac tumors.
  • These procedures provide valuable academic information and can occasionally assist in diagnosis.

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