Calcified Left Ventricular Mass: Unusual Clinical, Echocardiographic, and Computed Tomographic Findings of Primary Cardiac Osteosarcoma  Sunil K. Nowrangi,

Slides:



Advertisements
Similar presentations
Not Necessarily a Myocardial Infarction: New Left Bundle Branch Block
Advertisements

Patent Foramen Ovale and Stroke
Cardiac Papillary Fibroelastoma: A Treatable Cause of Transient Ischemic Attack and Ischemic Stroke Detected by Transesophageal Echocardiography  Robert.
What's in a Mass?: Large Native Mitral Valve Mass
Francis Q Almeda, MD, Solomon Adler, MD, Robert S Rosenson, MD 
Chronic Heart Perforation With 13
Occult Cardiac Tamponade Detected by Transesophageal Echocardiography
Hepatic Lymphangiomatosis Mimicking Polycystic Liver Disease
Constrictive Pericarditis Masked by CAPD
Coronary artery-to-left ventricular fistula
Patrick G. Dean, M. D. , P. Michael Davis, M. D. , Antonio G
Renal vein injury complicating removal of intravenous leiomyoma
Male With Chest Pain and Lightheadedness
Aortico-Left Ventricular Tunnel: Diagnosis Based on Two-Dimensional Echocardiography, Color Flow Doppler Imaging, and Magnetic Resonance Imaging  RICHARD.
44-Year-Old Man With Fatigue and Anemia
Multiple Aortic Thrombi Associated With Protein C and S Deficiency
Primary Pulmonary Melanoma: Case Report and Literature Review
Extramedullary Hematopoiesis in β-Thalassemia
Simone N. Barretto, MD, Guilherme H. Oliveira, MD, Clement J
Power Failure: Acromegalic Cardiomyopathy
Surgical Treatment of Cardiac Papillary Fibroelastoma: A Single Center Experience With Eighty-Eight Patients  Dumbor L. Ngaage, MB, BS, Charles J. Mullany,
Constrictive Pericarditis and Pleuropulmonary Disease Linked to Ergot Dopamine Agonist Therapy (Cabergoline) for Parkinson's Disease  Lieng H. Ling, M.B.,
Primary Pulmonary Melanoma: Case Report and Literature Review
Atypical Presentation of Eosinophilic Endomyocardial Disease
Renal Cell Carcinoma Associated With Sarcoidlike Tissue Reaction
Extension of a Pulmonary Blastoma Into the Left Atrium
B. Albat, MD, P. Messner-Pellenc, MD, A. Thévenet, MD 
Left Ventricular Myxoma Occluding the Suprarenal Abdominal Aorta in an Infant  Takuya Kawabata, MD, PhD, Shingo Kasahara, MD, PhD, Shin-ichi Ohtsuki, MD,
Spontaneous giant right coronary artery pseudoaneurysm
Role of Surgery After Chemotherapy in B-Cell Lymphoma of Thymus Causing Airway Compression and Right Ventricle Outflow Tract Obstruction  Ikram Chaudhry,
Volume 81, Issue 1, Pages (January 1982)
Cardiac lipoma arising from left ventricular papillary muscle: Resect or not?  Young Sam Kim, MD, Kyung Hee Lee, MD, PhD, Suk Jin Choi, MD, PhD, Wan Ki.
Increasing Dyspnea Due to an Anterior Mediastinal Mass
Prostate Cancer Masquerading as a Zygomatic Posttraumatic Mass
Dilated cardiomyopathy and functional mitral regurgitation complicated with traumatic ventricular septal defect  Hisato Ito, MD, Kiyohito Yamamoto, MD,
Shahbudin H. Rahimtoola, MB, FRCP  Mayo Clinic Proceedings 
Aspergillus Infection of Implantable Cardioverter-Defibrillator
Mycoplasma-Associated Pericarditis
Harish Gagneja, M.D., Baha Arafah, M.D., Harris C. Taylor, M.D. 
William J. Hogan, MB, MRCPI, Robert D. McBane, MD, Paula J
KEVIN G. MODER, M.D.  Mayo Clinic Proceedings 
Cardiac Involvement in Systemic Lupus Erythematosus
Intracardiac Migration of Operatively Placed Epicardial Pacing Leads
Infliximab-Associated Reversible Cholestatic Liver Disease
ISHIK C. TUNA, M.D.  Mayo Clinic Proceedings 
A Symptomatic Calcified Pericardial Cyst
Embolized Disc from a Beall Mitral Valve Prosthesis
Inoperable Plasma Cell Granuloma of the Heart: Spontaneous Decrease in Size During an 11-Month Period  PAUL J. PEARSON, B.S.  Mayo Clinic Proceedings 
Pablo Blanco, MD, Luis Carapelli, MD  CHEST 
Temozolomide-Associated Organizing Pneumonitis
Fistulous Pseudoaneurysm Complicating Surgical Accessory Pathway Interruption for Wolff-Parkinson-White Syndrome  THOMAS L. SALAZER, M.D., J. MICHAEL.
27-Year-Old Woman With Pancytopenia
ANDREW H. LIMPER, M.D., UDAYA B.S. PRAKASH, M.D. 
Mitral Stenosis Associated With Valvular Tophi
Lymphoma Associated With Human Immunodeficiency Virus Infection
Successful removal of migrated acupuncture needles in a patient with cardiac tamponade by means of intraoperative transesophageal echocardiographic assistance 
Hemorrhage Into a Pericardial Cyst and Associated Right Ventricular Compression After Blunt Chest Trauma  Veysel Temizkan, MD, Burak Onan, MD, Kaan Inan,
Elizabeth Klodas, M. D. , Veronique L. Roger, M. D. , Fletcher A
Churg-Strauss Syndrome Complicated by Eosinophilic Endomyocarditis
Norwood Stage 1 With Surgical Ventricular Reconstruction and Mitral Valve Repair for Neonatal Idiopathic Left Ventricular Dilated Cardiomyopathy  Patrick.
Joseph G. Parambil, MD, Gregory L. Aughenbaugh, MD, Telma C
Liposarcoma of the Pleura
Diagnosis of a solitary cardiac metastasis from ocular melanoma
Q Fever Endocarditis in the United States
Mechanical left ventricular unloading to prevent recurrent myocardial rupture  Stephen Westaby, MS, PhD, Vipin Mehta, MD, Fidelma Flynn, MD, Neil Wilson,
Flip-Flop Heart Mayo Clinic Proceedings
Isolated Antral Narrowing Associated With Gastrointestinal Cryptosporidiosis in Acquired Immunodeficiency Syndrome  EUGENIO CERSOSIMO, M.D., Ph.D.  Mayo.
Linda M. Petter, M.D., J. Kirk Martin, M.D., David M. Menke, M.D. 
Pyopneumopericardium Attributed to an Esophagopericardial Fistula: Report of a Survivor and Review of the Literature  WAYNE L. MILLER, M.D., MICHAEL J.
16-Year-Old Boy With Gross Hematuria
Presentation transcript:

Calcified Left Ventricular Mass: Unusual Clinical, Echocardiographic, and Computed Tomographic Findings of Primary Cardiac Osteosarcoma  Sunil K. Nowrangi, MD, Naser M. Ammash, MD, William D. Edwards, MD, Jerome F. Breen, MD, John H. Edmonson, MD  Mayo Clinic Proceedings  Volume 75, Issue 7, Pages 743-747 (July 2000) DOI: 10.4065/75.7.743 Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Transthoracic (left) and transesophageal (right) echocardiograms, demonstrating a large calcified left ventricular mass extending from the base of the septum to the posteromedial section of the ventricle. Left, Parasternal long-axis view. Ao = aorta; LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle. Mayo Clinic Proceedings 2000 75, 743-747DOI: (10.4065/75.7.743) Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Noncontrast (left) and contrast-enhanced (right) computed tomograms of heart, showing partially calcified mass (arrows). The small amount of associated noncalcified soft tissue was originally thought to be part of the papillary muscle process. Mayo Clinic Proceedings 2000 75, 743-747DOI: (10.4065/75.7.743) Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Follow-up contrast-enhanced computed tomogram of chest, showing that the partially calcified mass (left) (arrows) has increased in size and that a new nodule (right) (arrowheads) has developed. Mayo Clinic Proceedings 2000 75, 743-747DOI: (10.4065/75.7.743) Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 Gross photograph of ventricular slices (short-axis format). Osteosarcoma (white) is massive and involves the inferoseptal aspects of both ventricles, at midventricular and apical levels, and the posteromedial mitral papillary muscle. Mayo Clinic Proceedings 2000 75, 743-747DOI: (10.4065/75.7.743) Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 5 Photomicrograph of primary cardiac osteosarcoma. Malignant spindle cells are associated with focal bone formation (hematoxylin-eosin; original magnification ×300). Mayo Clinic Proceedings 2000 75, 743-747DOI: (10.4065/75.7.743) Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions