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Published on: June 11, 2019
The echocardiographic evaluation of intracardiac masses: a review
Priscilla J Peters1, Sean Reinhardt
1Cooper University Hospital, Camden, New Jersey 08103, USA. peters-priscilla@cooperhealth.edu
Insights
Echocardiography effectively evaluates intracardiac masses, distinguishing tumors, thrombi, and vegetations by assessing location, size, and mobility. Transesophageal imaging enhances diagnosis when surface imaging is insufficient for cardiac mass assessment.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Intracardiac masses require accurate diagnosis for appropriate management.
- Echocardiography is a primary imaging modality for cardiac structures.
Purpose of the Study:
- To review the role of echocardiography in evaluating intracardiac masses.
- To discuss the differentiation of cardiac tumors, thrombi, and vegetations using echocardiography.
Main Methods:
- Review of echocardiographic findings in intracardiac masses.
- Emphasis on distinguishing features of tumors, thrombi, and vegetations.
- Role of transesophageal echocardiography in complex cases.
Main Results:
- Echocardiography accurately assesses intracardiac mass characteristics (location, size, mobility).
- Distinguishing between tumor, thrombus, and vegetation is feasible with echocardiography.
- Transesophageal imaging provides crucial details when surface echocardiography is limited.
Conclusions:
- Echocardiography is essential for intracardiac mass evaluation.
- Careful analysis of echocardiographic features aids in differential diagnosis.
- Transesophageal echocardiography is a valuable adjunct for comprehensive assessment.
Abstract:
Echocardiography is an invaluable procedure for the evaluation of intracardiac masses, and can reliably identify mass location, attachment, shape, size, and mobility, while defining the presence and extent of any consequent hemodynamic derangement. With careful attention to mass location and morphology, and appropriate application of clinical information, echocardiography can usually distinguish between the 3 principal intracardiac masses: tumor, thrombus, and vegetation. Transesophageal imaging frequently adds additional important information to the assessment of mass lesions and should always be considered when image quality is inadequate or pertinent clinical questions remain unanswered with surface imaging. This review will focus on primary and metastatic tumors of the heart.
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