Joseph Mansour, Presenter: Nothing to Disclose

Sanjeev Bhalla MD, Abstract Co-Author: Nothing to Disclose

Kristopher W. Cummings MD, Abstract Co-Author: Research Consultant, Biomedical Systems Research Consultant, Medtronic, Inc

Fernando R. Gutierrez MD, Abstract Co-Author: Nothing to Disclose

Julie Tanios el-Ferzli MD, Abstract Co-Author: Nothing to Disclose

Christine O. Menias MD, Abstract Co-Author: Nothing to Disclose

Rita Chahinian MD, Abstract Co-Author: Nothing to Disclose

TEACHING POINTS 1. Review abdominal entities that may result in cardiac manifestations 2. Review cardiac entitities that may result in abdominal manifestations

TABLE OF CONTENTS/OUTLINE 1.  Introduction 2. Case-Based Review: Cases of Cardiac manifestations of abdominal entities a. Metastases from abdominal organs i. Myocardial metastases from abdominal organs (renal cell, colorectal carcinoma) ii. Pericardial metastases from abdominal organs iii. Intracameral metastases (hepatocellular, renal cell, uterine tumors) b. Fistulization between stomach and coronaries c. Carcinoid tumors causing valvular vegetations and endocardial fibroelastosis d. Mass effect on heart from abdominal viscera i. Swallow syncope from large hernia ii. Bowel herniation to the pericardial space 3. Case-Based Review: Abdominal Manifestations of Cardiac entities a. Infarcts from endocarditis & ventricular thrombi b. Cardiac cirrhosis c. Hemolysis from mechanical valves d. Retrograde flow in hepatic veins from tricuspid regurgitation  SUMMARY The heart is included in every cross-sectional study of the abdomen. Radiologists must include it in their search pattern as it may be involved with abdominal diseases and in certain situations, a cardiac finding may explain the abdominal ones. 

http://abstract.rsna.org/uploads/2014/14018507/14018507_3xwa.pdf

Mansour, J, Bhalla, S, Cummings, K, Gutierrez, F, el-Ferzli, J, Menias, C, Chahinian, R, Getting at the Heart of the Matter: The Heart in Abdominal Disease.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14018507.html