What is the Ventricular Wall Tumor Q&A?

  A patient asked, “I’m 62 years old, I like sports, I had a heart attack in 2009, I had a stent put in, I had a coronary CT in January this year, the doctor recommended hospitalization, I took a bike tour in early May, just arrived home and had a heart attack, the area is quite large. The doctor said that the ventricular wall tumor was formed because of long-term ischemia, but there is no way to cure it now, so I can only cut it when it gets bigger later. Is there any danger to my body from ventricular wall tumors? Should I have it surgically removed?  The answer is that ventricular wall tumors are a serious complication of myocardial infarction. After myocardial infarction, local myocardial necrosis, edema, and eventually the scar replace the myocardium, the scarred myocardium has no contraction function, other normal myocardium contraction, this part of the scarred myocardium will protrude outward, like a “tumor”, so it is called ventricular wall tumor.  First, the local blood flow of ventricular wall tumor is not normal, and the local endocardium is not normal, which will form local thrombus, and if the thrombus is dislodged, it will cause the symptoms of peripheral vascular embolism, such as cerebral infarction; second, when the large ventricular wall tumor is contracted by the surrounding normal myocardium, the local outward expansion will affect the ejection of blood from the heart to the aorta, which will reduce the function of the heart and produce the symptoms of heart failure in serious cases; third, the ventricular wall tumor is localized due to the scarred myocardium, which has no contraction function. Third, localized ventricular wall tumors can affect the electrical activity of the heart due to scar formation, and some patients can develop severe malignant arrhythmias.  For the treatment of ventricular wall tumors, the key depends on the severity of the above symptoms caused by the ventricular wall tumor. If the patient has a thrombus alone, anticoagulation is an option, and if the patient has an arrhythmia alone, it can be treated by minimally invasive methods such as drugs or intervention.  The timing of surgery for ventricular wall tumors is generally chosen to operate 4 weeks after myocardial infarction, when the boundaries of the ventricular wall tumor are clear and the surgery is indeed.