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Related Concept Videos

Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

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Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Imaging Studies for Cardiovascular System V: CT01:28

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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

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Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
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An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
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Enlarging Epicardial Cardiac Hemangioma: Serial Multimodality Imaging and Pathologic Correlation.

Neel Vora1, Patrick Collier2, Carmela Tan3

  • 1Department of Cardiovascular Radiology, Cleveland Clinic, Cleveland, Ohio.

Radiology. Cardiothoracic Imaging
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Summary

Cardiac hemangioma, a rare benign heart tumor, can grow over time and cause symptoms. This case highlights long-term imaging surveillance and eventual surgical resection for a growing cardiac hemangioma.

Keywords:
CTCardiacCardiac HemangiomaConservative ManagementEchocardiographyMRISurgery

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Area of Science:

  • Cardiovascular Imaging
  • Cardiac Pathology
  • Surgical Oncology

Background:

  • Cardiac hemangioma is a rare, benign cardiac tumor often found incidentally.
  • Symptoms may include dyspnea, angina, or arrhythmias, necessitating diagnostic imaging.
  • Multimodality imaging is crucial for tumor delineation and management decisions.

Purpose of the Study:

  • To present a case of cardiac hemangioma managed conservatively with serial imaging.
  • To illustrate the progression of cardiac hemangioma over 15 years.
  • To discuss the eventual surgical management of a symptomatic cardiac hemangioma.

Main Methods:

  • Serial imaging including echocardiography, CT, and MRI was utilized.
  • Conservative management with close monitoring was initially employed.
  • Surgical resection was performed due to tumor growth and associated symptoms.

Main Results:

  • The cardiac hemangioma demonstrated significant size increase over a 15-year period.
  • The patient developed symptoms including dyspnea and angina.
  • Successful surgical resection of the cardiac hemangioma was achieved.

Conclusions:

  • Long-term imaging surveillance is valuable for monitoring cardiac hemangioma growth.
  • Surgical intervention may be necessary for symptomatic or significantly growing cardiac hemangiomas.
  • Cardiac hemangioma, though benign, requires careful management and follow-up.