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Pathology
Rare, benign cardiac polypoid tumour usually occurs in left atrium adjacent to atrial septum
Aetiology
F>M, familial or sporadic
Signs
‘Tumour plop’ 3rd heart sound, clubbing, loud 1st heart sound
Symptoms
Fever, dyspnoea, weight loss, arthralgia, syncope, can mimic mitral valve disease
Investigations
Bloods: FBC – anaemia or polycythaemia, raised ESR
Echo: visualises tumour
Treatment
Surgical excision
Prognosis
1-5% recurrence after surgery.
Overall prognosis after surgery is very good.
Irregular surface is associated with increased risk of emboli
Peripheral or pulmonary emboli, arrhythmias, heart failure
Key Facts
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Key Images
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Key References
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