Pathology: Rare,benign cardiac polypoid tumour usually occurs in left atrium adjacent to atrialseptum
Aetiology: F>M,familial or sporadic
Symptoms: Fever, dyspnoea,weight loss, arthralgia, syncope, can mimic mitral valve disease
Signs: ‘Tumourplop’ 3rd heart sound, clubbing, loud 1st heart sound
Investigations: Bloods: FBC – anaemia or polycythaemia,raised ESR
Echo: visualises tumour
Treatment: Surgicalexcision
Complications: Peripheralor pulmonary emboli, arrhythmias, heart failure
Prognosis: 1-5% recurrenceafter surgery.
Overall prognosisafter surgery is very good.
Irregularsurface is associated with increased risk of emboli
