On rare occasions, this tumor can cause cardiac tamponade, resulting in sudden death. Recent advances in cardiac catheterization, cineangiography
, and cardiac surgery have placed a burden on the physician to detect primary cardiac tumors antemortem. Doppler echocardiography constitutes the first step of the workup and allows the diagnosis of cardiac tumor The next step should be contrast-enhanced computed tomographic scanning or magnetic resonance imaging. In most cases, a cardiac surgeon can completely excise the tumor; however, both spontaneous remission and remission after steroid therapy have been reported.
Diagnostic and therapeutic catheterization require fluoroscopy with a 35 mm cineangiography
primary recording medium. Fluoroscopy facilitates placement of catheters while cineangiographic film permanently captures anatomic and functional details of the cardiac chambers, great vessels and coronary circulation. Although excellent images are expected for both types of procedures, interventional procedures require more highly detailed fluoroscopy. Digital angiographic systems provide an alternative to static imaging.