Table 5.
Structural and echocardiographic features of most common neoplasia
| Neoplasms | Localization | Enhancement with contrast agents | Age of the patient | Echo features |
|---|---|---|---|---|
| Mixoma | LA (majority of cases) RA | Mild enhancement | Any age | Sessile, pedunculated, isoechoic, definite margins |
| Fibroelastoma | Valve structures | Depending on vascularization | Any age | Small size, endocardial attachment |
| Lipoma | Subendocardium, or pericardium or on cardiac valve structures | No enhancement | Any age | Broad based, immobile, no pedicle, well circumscribed |
| Rhabdomyoma | Ventricular walls, atrioventricular valves | Remarkable enhancement | <1 year old | Small, well-circumscribed isolated, or multiple nodules or a pedunculated mass |
| Sarcomas Angiosarcomas | LARA | Variable, not always significant enhancement | Any age | Broad-based heterogeneous echogenicity; hypoechogenic areas may indicate tumor necrosis |
| Lymphoma | Especially in the RA | Variable | Any age | Homogeneous, infiltrating masses leading to “wall thickening” or nodular masses |
LA=Left atrium, RA=Right atrium