δείτε την πρωτότυπη σελίδα τεκμηρίου στον ιστότοπο του αποθετηρίου του φορέα για περισσότερες πληροφορίες και για να δείτε όλα τα ψηφιακά αρχεία του τεκμηρίου*
Cardiac Masses: The Role of Cardiovascular Imaging in the Differential
Diagnosis
Aggeli, Constantina
Dimitroglou, Yannis
Raftopoulos, Leonidas
and Sarri, Georgia
Mavrogeni, Sophie
Wong, Joyce
Tsiamis,
Eleftherios
Tsioufis, Costas
Cardiac masses are space occupying lesions within the cardiac cavities
or adjacent to the pericardium. They include frequently diagnosed
clinical entities such as clots and vegetations, common benign tumors
such as myxomas and papillary fibroelastomas and uncommon benign or
malignant primary or metastatic tumors. Given their diversity, there are
no guidelines or consensus statements regarding the best diagnostic or
therapeutic approach. In the past, diagnosis used to be made by the
histological specimens after surgery or during the post-mortem
examination. Nevertheless, evolution and increased availability of
cardiovascular imaging modalities has enabled better characterization of
the masses and the surrounding tissue. Transthoracic echocardiography
using contrast agents can evaluate the location, the morphology and the
perfusion of the mass as well as its hemodynamic effect. Transesophageal
echocardiography has increased spatial and temporal resolution; hence it
is superior in depicting small highly mobile masses. Cardiac magnetic
resonance and cardiac computed tomography are complementary providing
tissue characterization. The scope of this review is to present the role
of cardiovascular imaging in the differential diagnosis of cardiac
masses and to propose a step-wise diagnostic algorithm, taking into
account the epidemiology and clinical presentation of the cardiac
masses, as well as the availability and the incremental value of each
imaging modality.
(EN)
*Η εύρυθμη και αδιάλειπτη λειτουργία των διαδικτυακών διευθύνσεων των συλλογών (ψηφιακό αρχείο, καρτέλα τεκμηρίου στο αποθετήριο) είναι αποκλειστική ευθύνη των αντίστοιχων Φορέων περιεχομένου.
Cardiac Masses: The Role of Cardiovascular Imaging in the Differential Diagnosis
Cardiac Masses: The Role of Cardiovascular Imaging in the Differential Diagnosis
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