Cardiac tumors Quiz

A 68-year-old woman with a past medical history of well-controlled hypertension presents to the emergency department with a three-year history of fatigue and dyspnea on exertion that has acutely worsened over the past two days. She now has dyspnea at rest and additionally endorses lower-extremity edema. Work-up is significant for a ECG that demonstrates left atrial hypertrophy and a NT-proBNP of 10,000 pg/ml. An echocardiogram reveals a heterogenous mass in the left atrium that prolapses into the left ventricle during diastole. It appears to be situated on the intra-atrial septum. Which of the following represents the best definitive management?

The most common primary malignant tumor of the heart is:

A patient is referred for evaluation of lipomatous hypertrophy of the interatrial septum (LHIS) identified incidentally on cardiac MRI. The patient is asymptomatic. Management should entail:

A 33-year-old man with no previous past medical history is referred to you for evaluation of a newly-diagnosed cardiac tumor. He asks you what percentage of these types of tumors are benign. Assuming the tumor is a primary cardiac tumor, what do you tell him?

Survival may be improved by resection of tumors invading the heart of which origin?

Rhabdomyomas in children occur with what disorder in 50% of patients?

The most common acute manifestation of a cardiac tumor is:

A 22-year-old male with no significant past medical history is referred to cardiac surgery for evaluation management of an incidentally found cardiac mass. Echocardiogram revealed a 1.2 cm mobile mass located in the left atrium along the intra-atrial septum. She denies any symptoms of heart failure. Two of his maternal uncle both had similar masses and his mother suffered from hypoparathyroidism. On physical exam, you note several small pigmented lesions on his face which he states have been present since childhood. Based on the most likely diagnosis, what is your management plan?