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Dewitt ch 17 & 18
Myxomas, Tumors, Masses, & Missiles, Diseases of AO
45
Other
Undergraduate 2
12/05/2015

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Cards

Term
Most common benign tumor found in adults 30%. Attached by stalk in LA
Definition
Myxoma
Term
Most comon valvular tumor. In adults happens in AOV & MV. In kids happens in TV. Resembles chordae tendineae
Definition
Papillary Fibroelastoma
Term
Bulky tumor embedded in myocardial wall of ventricle or IVS
Definition
Fibroma
Term

Well encapsulated tumor made of mature fat cells.

Located in IAS. "DumbBell Shape"

Definition
Lipoma
Term

Yellowish-gray tumor(s) found in ventricular walls or intracavity. Found in children

 

Definition
Rhabdomyoma
Term
Most common malignant tumor. Mostly seen in RA. Often associated with pericardial effusion/tamponade.
Definition
Angiosarcoma
Term
Malignant tumor with a wide variety of types: rhabdomyosarcoma, fibrosarcoma, osteosarcoma. Mostly seen in RA.
Definition
Sarcoma
Term
More common that primary malignant tumors. Come from lymphoma, melanoma, lung cancer, breast cancer. Travel to pericardium --> myocardium --> endocardium. Metastasize from IVC --> RA --> RV
Definition
Secondary tumors (Metastatic)
Term
If it metastasized from IVC --> RA --> RV it is ?
Definition
Renal or Liver Cancer
Term
If it metastasized from pulmonary veins --> LA it is ?
Definition
Lung Cancer
Term
Anywhere within the vicinity of the heart (mediastinal cysts, hematoma, thymoma, pancreatic cyst, pleural tumor, ect..)
Definition
Extracardiac Tumors
Term
Result of metastasizing carcinoid tumor (apex or ileum) secretes seritonin. Metastasizes to liver. Seritonin stays on right side cause its inactivated in lungs.
Definition
Carcinoid Heart Disease
Term
Usually forms in areas of akinesis or dyskinesis. Found in apex. Associated with MI
Definition
Thrombus
Term
Types of Thrombus
Definition
Layered, Single, Pendunculated, Multiobulated
Term
Foreign body: Bullet, knife, nail..ect. Appears echogenic with strong reverberations.
Definition
Missles
Term
Rule out potential complications with Missiles
Definition
Myocardial rupture, ASD, VSD, Regurg., Pericardial Effusion/Tamponade, CA Trauma, WMA
Term
Involves tear in intimal (inner) lining. Creates lumen. Blood entering destroys media & strips intima from adventitia.
Definition
AO Dissection
Term
Tearing in AAO. Requires surgical treatment
Definition
Stanford Type A proximal
Term
Tear in DAO requires medical management.
Definition
Stanford Type B distal
Term
Involves AAO, AO arch,& DAO
Definition
DeBakey Type I anatomic location
Term
Involves AAO
Definition
DeBakey Type II anatomic location
Term
Involves DAO
Definition
DeBakey Type III anatomic location
Term
Ripping, tearing or sharp pain in abdomen, chest or back. BP HTN
Definition
Signs & Symptoms of AO Dissection
Term
Most commonly affected RCC. Associated findings: Bicuspid AOV, VSD, Coarc.of AO. Can create sub valvular PS. Can obstruct RVOT
Definition
Sinus of Valsalva Aneurysm
Term
Saccular aneurysm "pouch" in weakened area. Fusiform aneurysm is uniform dilatation of the entire circumfrence of AO
Definition
Aortic Aneurysm
Term
Complications of Myxoma:
Definition
Embolization & associated findings, infected myxoma, fever, weight loss, hemolytic anemia, joint pain, rash, clubbing of the fingertips, stenosis, regurgitation, sudden death
Term
If the myoma is mobile drops through the valve during diastole. It will mimic ?
Definition
MS or TS
Term
Myxoma is attached by a stalk on what side and where?
Definition
IAS / LA
Term

What valvular tumor involves MV & AOV in adults and TV in kids? And rarely exceeds 1 cm diameter?

 

Definition
Papillary Fibroelastoma
Term
A bulky tumor in the IVS that could cause LVOTO?
Definition
Fibroma
Term
This tumor takes on a Dumb Bell shape because it thickens everywhere but the Fossa Ovalis.
Definition
Lipoma
Term

Lipoma's are often large and associated with a pericardial effusion.

 

True or False

Definition
True
Term
These tumors are typically associated with tuberous sclerosis
Definition
Rhabdomyoma
Term

Secondary tumors are less common than primary tumors?

 

True or False

Definition
False
Term
Always document WMA, ventricular function, and chamber size when you see this:
Definition
Thrombus
Term
Types of Thrombus: 4 total
Definition

1. Layered

2. Single

3. Pedunculated

4. Multilobulated

Term
With Missles, you want to rule out: 7 total
Definition

1. Myocardial rupture

2. ASD

3. VSD

4.Ventricular disruption & Regurg.

5. Pericarial Effusion / Tamponade

6. CA trauma

7. WMA

Term
Etiology of AO Dissection: 9 total
Definition

1. HTN

2. Atherosclerotic

3. Connective tissue diseases (Marfan/Ehlers-Danlos)

4. Turner syndrome

5. Pregnancy

6.Coarctation

7. Strenuous physical exertion

8. Trauma

9. Men 40+

Term
Type I, Type II, Type III are what system?
Definition
DeBakey
Term
Type A, Type B are what system?
Definition
Stanford
Term
AO Dissection signs & symptoms
Definition
Ripping, tearing, sharp pain in abdomen, chest, back HTN, Point of pain serves to locate tear
Term
Can you have a MI with AO Dissection?
Definition
Yes, if there is an occlusion of a coronary artery(s)
Term
What would a pericardial effusion/ tamponade indicate with AO Dissection?
Definition
It ruptured into the pericardium
Term
Would you see severe AI with Type III dissection?
Definition
No, only with Type I, or Type II
Term
Would you see dilated AO with Type I or Type III dissection?
Definition
Yes
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