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Detection of Cardiac Tumor by Rectilinear Imaging with ¹³¹Cs

University of Nebraska Medical Center, Omaha, Nebraska

Correspondence: For reprints contact: Merton A. Quaife, Div. of Nuclear Medicine, University of Nebraska College of Medicine, 42nd and Dewey Ave., Omaha, Neb. 68105.

ABSTRACT

Primary neoplasms of the heart are rare, with the majority of these growths being benign in nature. However, clinical course does not bespeak a benign entity since death usually results from functional impairment at this critical anatomic site. Currently available cardiovascular surgical techniques require consideration of additional means of detecting the presence of this disease early in its course. This paper reports the delineation of a myocardial tumor, pathologically identified as a fibroma by ¹³¹Cs myocardial scanning. This finding is correlated with data from a heart pool scan, selective coronary arteriography and angiography as well as more commonly avail able adjunct procedures. Operation confirmed the presence of tumor at the anatomic location correlating with the scan. The lesion was successfully removed, and the patient has made an uneventful recovery. The use of myocardial scanning with the radionuclide ¹³¹Cs is suggested as a valuable adjunct in the differential diagnosis of myocardial lesions in cases suspected of having primary neoplasms of the heart.