For physiotherapy students

1. CARDIAC TUMORS
PRESENTED BY : DIXITA NANDA
MPT 1ST YEAR

2.  Cardiac tumors are abnormal growths in the heart.
 There are many types of cardiac tumors. But, cardiac tumors, in
general, are rare.
 The tumors can be cancerous (malignant) or noncancerous
(benign).
 Tumors that begin growing in the heart and stay there are called
primary tumors.
 Tumors that start in another part of the body and move to the
heart (metastasize) are called secondary tumors. Most cardiac
tumors are benign.

3. Types

6. Intracardiac myxomas are the most common benign tumours of the
heart and in majority are located in LA and rise from interatrial
septum
 Most common in women between 30 and 60 years of age.

7. Left Atrial Myxomas
Clinical features –
Triad of
• Embolic phenomenon – Systemic emboli involving the brain,
heart, extremities, kidney and aortic bifurcation.
• Systemic symptoms – Fever, anorexia, weight loss, myalgia,
arthritis, Raynaud’s phenomenon, petechiae and finger clubbing
(due to immunological reactions to necrotizing tumour).

8.  Obstructive manifestations – Obstruction of mitral valve
simulates mitral stenosis producing left heart failure. A ball-valve
mechanism can produce recurrent pulmonary oedema or stenosis,
which can lead to sudden death.

9. Signs
1) Loud S1 and accentuated S2 .
2) “Tumor plop” – Early diastolic sound produced by prolapse of the
tumor through mitral valve.
3) Apical diastolic or systolic murmur or both usually present.
Changing murmurs due to varying mitral obstruction.

10.  Dyspnea
 Fever
 Weight loss
 Severe dizziness
 Fatigue
 Malaise
 Chills

11. Investigations
2D-echo – is diagnostic and reveals location, origin, and movement
of the tumor

12. Treatment
– Surgical resection of the tumor together with portion of atrial
septum from which it arises.

13. Right Atrial Myxomas
Right atrial myxomas—are rare.

14. Clinical manifestations
– Features of
• Systemic venous hypertension
• Prominent jugular ‘a’ waves
• Hepatomegaly and ascites
• Oedema

15. Signs –
• Loud early systolic sound at lower sternal border
• systolic and diastolic murmurs at tricuspid area

16. Investigations
2D-echo – is diagnostic and reveals location, origin, and movement
of the tumour

17. Treatment
– surgical removal.

18. THANK YOU !