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Revista Uruguaya de Cardiología

Print version ISSN 0797-0048On-line version ISSN 1688-0420

Abstract

BRIANO, Victoria et al. ST segment elevation as an atypical presentation of a cardiac tumor. Diagnostic role of a multimodal imaging approach. Rev.Urug.Cardiol. [online]. 2021, vol.36, n.3, e701.  Epub Dec 01, 2021. ISSN 0797-0048.  https://doi.org/10.29277/cardio.36.3.13.

Malignant cardiac tumors are rare neoplasms that can present in various forms, making their diagnosis difficult. Echocardiography and cardiac magnetic resonance imaging are fundamental techniques for the diagnosis, characterization, and evaluation of tumor extension. Identification of the tumor line is essential when initiating targeted cancer therapy. Although the “gold standard” for this purpose is the pathological study (obtained by biopsy or surgical resection), in cases where this is not possible, cardiac resonance is the non-invasive technique that provides a better diagnostic approach. The treatment of choice is surgical resection and the prognosis is generally poor. We present the case of a patient with an atypical clinical presentation, in which a multimodal approach provides key and complementary information for tumor diagnosis and tissue characterization.

Keywords : Malignant heart tumor; Undifferentiated sarcoma; Multimodality; Cardiac magnetic resonance.

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