Thread by @Jason_N_Johnson

🔥 New Cases of @SCMRorg
🫀🧲 Rapid Recurrence of Primary Cardiac Sarcoma seen by #WhyCMR

👇Click here for a link to the case
scmr.org/page/case22-10…

🙏 Please follow here for highlights of the case 1/

#SCMRCases @vass_vassiliou @vineetao17 @achdDoc12 @purviparwani

👨24 yo male w/ hx of cardiac tumor s/p resection
✅Hemoptysis w/ bright red blood
✅Cardiac tumor dx 3 mo prior w/ similar symptoms
❤️Echo → Large mass in LA
🔪Surg specimen pleomorphic sarcoma
❤️F/U Echo 1 mo → small mass in LA 2/

#WhyCMR @SCMRorg

#WhyCMR → 2 wks after 1 mo f/u echo
🫀🧲 Large bilobed LA mass from R PVs
🫀🧲 Mass = iso T1, ↑ T2, ↑ LGE, avascular on perfusion

👇Click here for entire CMR
cloudcmr.com/0157-1973-5348… 3/

#SCMRCases @SCMRorg

✅Presented in ED w/ tachycardia & ↑ WBC
🫁☢️CT chest w/ contrast → Large LA Mass
❤️Echo → Large LA Mass
☢️PET-CT → mets to the brain and pelvis
🧲🧠 MR Brain → 2 enhancing mets to brain

#WhyCMR #SCMRCases @SCMRorg

☢️Urgent radiation therapy & chemo
🫀🧲 Repeat #WhyCMR → mass prolapse though MV w/ severe MS & mild LVOTO

👇Click here for the entire CMR
cloudcmr.com/6357-1973-9048… 4/

#SCMRCases @SCMRorg

✅Dx = Recurrence of a large obstructive LA Sarcoma w/ rapid growth over 3 week period
✅Primary cardiac tumors are rare
✅¼ are malignant most commonly sarcoma
✅Resection w/ chemo/radiation treatment of choice but outcomes are poor 5/

#WhyCMR #SCMRCases @SCMRorg

🔥Cases of SCMR is a great way to learn #WhyCMR

👇Submit your great CMR cases here
scmr.org/page/SubmitCase

📢Cases are now eligible for pub in @journalofCMR
👇Click here for the @SCMRorg 2021 Cases in JCMR
pubmed.ncbi.nlm.nih.gov/35787291/ 7/fin

@Doc_Tiger @MasriAhmadMD @chiarabd @sven_plein @HeartDocSubha @Campbell_MJay @pigtowner @nehban @DrFuisz @Kfarooqi @NitiCardio @RayRcnita @PushpaShivaram @MrinShettyMD @onco_cardiology @OKhaliqueMD @danilorenzatti @AlsaiedTarek @AChoiHeart @anudodejamd @FGraziani_Grace