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Atrial myxoma

Jorge Vallés-Torres, María Blanca Izquierdo-Villarroya, José María Vallejo-Gil, Juan Manuel Casado-Domínguez, Ana Belén Roche Latasa, Pablo Auquilla-Clavijo
No abstract text is available yet for this article.
February 7, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Yuriy Mandryk, Markus Czesla, Parwis Massoudy
The strategy for the successful removal of gigantic myxoma of the left atrium obstructing inflow into the left ventricle is presented. We consider an anterolateral minithoracotomy approach superior to median sternotomy for complete and comfortable atrial tumour excision because of the excellent exposure and the cosmetic outcome. After removal, local cryodestruction of potential remnant cells is mandatory to prevent recurrency.
March 12, 2018: Interactive Cardiovascular and Thoracic Surgery
A Alaga, Y X Yew, M K Razul
A 47-year-old female, with multiple comorbidities, presented with a cough of two months, loss of weight and appetite. She was treated for pneumonia. A chest X-ray showed bilateral reticulonodular opacities. She was noted to have a vague central abdominal mass and a systolic murmur over the mitral region. Ultrasonography and computed tomography of the abdomen showed an omental mass and loculated ascites. Oesophagoduedenoscopy showed antral gastritis and during colonoscopy the surgical team was unable to advance the scope beyond 40 cm due to external compression...
December 2017: Journal of the Royal College of Physicians of Edinburgh
Gerald Paul Fitzgerald, John Joseph Coughlan, Zahir Satti, Samer Arnous
A 23-year-old Asian student presented to our service with a 1-month history of fever, weight loss of 10 kg, night sweats, fatigue and general malaise. He was previously well with no significant medical or family history. He had a low-grade pyrexia and cardiac auscultation revealed a diastolic murmur consistent with 'tumour plop'. He had no sequelae of endocarditis. He had low-grade pyrexia of 37.7°C, and ECG showed sinus tachycardia at 130 bpm. He had raised inflammatory markers and was started on broad spectrum antibiotics...
March 9, 2018: BMJ Case Reports
Xiaojun Xie, Jiao Bai
No abstract text is available yet for this article.
March 1, 2018: Journal of Cardiac Surgery
Mareomi Hamada, Akiyoshi Ogimoto, Yuji Shigematsu
No abstract text is available yet for this article.
February 28, 2018: Internal Medicine
Lana Maričić, Grgur Dulić, Sandra Makarović, Vlatka Periša, Livija Susic
Atypical presentation of myxomas in the two cases described here arise from the fact that both patients were asymptomatic and both showed unexpected echocardiographic findings. Asymptomatic presentation is very rare, and occurs in only about 10% of individuals. Atrial myxomas discovered on incidental echocardiography is also a rare phenomenon, as seen in our cases. Early diagnosis and timely surgical treatment allow these patients to live a completely asymptomatic life.
January 5, 2018: Heart Surgery Forum
Matthew Grant, Samuel Douglass, Eric Roberge, Eric Shry
A 40 year-old athletic woman presented with worsening dyspnea on exertion over the preceding several months. Chest radiograph showed borderline cardiomegaly and subsequent echocardiography demonstrated a 5.0-cm left atrial mass as well as left-to-right interatrial shunting through a patent foramen ovale. Cardiac magnetic resonance imaging was performed, which demonstrated signal characteristics consistent with an atrial myxoma. The patient then underwent urgent surgical treatment with good technical and clinical outcome...
December 2017: Radiology Case Reports
Grigol Keshelava, Nikoloz Vashakmadze, Sulkhan Jaiani, Davit Kovziridze, Gela Kurashvili
Atrial myxoma is the most common benign tumor of the heart; moreover, atrial myxoma embolization to the peripheral vessels is rare. We present an unusual case of total acute infrarenal aortic occlusion resulting from embolic implantation from a left ventricular myxoma. A 37-year-old man with acute lower limbs ischemia, spinal cord ischemia, and acute renal insufficiency was urgently operated and discharged after surgery.
March 2018: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
Daichi Akiyama, Hiroshi Okada, Takashi Ando, Makoto Takeda
Carney complex(CNC) is a rare genetic syndrome, characterized by spotty pigmentation of the skin, cardiac myxomas and multiple endocrine tumors. We present a case of asymptomatic cardiac myxoma associated with CNC. She was 49 year-old healthy woman whose son was known to have CNC. She was also diagnosed as CNC due to her family history, typical cutaneous findings and screening endocrine test. Screening ultrasound echocardiography resulted in discovering her asymptomatic left atrial myxoma of 30 mm size. Tumor was successfully resected via median sternotomy and no signs of recurrence were observed at 1 year follow up...
February 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Luciana Rotaru, Mircea-Catalin Fortofoiu, Octavian Istratoaie, Cristian Constantin, Dana Maria Albulescu, Maria Fortofoiu
No abstract text is available yet for this article.
February 20, 2018: QJM: Monthly Journal of the Association of Physicians
T J John, H W Snyman, J Janson, A J K Pecoraro
Ebstein's anomaly is a rare entity affecting around 1 in 200,000 live births and accounts for less than 1% of congenital heart diseases. Ebstein's anomaly with an associated right-sided myxoma is extremely rare, with only one other case report found in the literature. Previous reports have also noted cases of Ebstein's anomaly associated with left-sided myxomas. We describe a female patient with, to our knowledge, the first case of a histopathologically confirmed right ventricular myxoma in the setting of Ebstein's anomaly...
February 21, 2018: Echo Research and Practice
Amanda M Kleiman, Lindsay M Harding, Allison J Bechtel
Masses in and near the interatrial septum may be either benign or malignant. The most common mass near the interatrial septum is lipomatous atrial septal hypertrophy (LASH). LASH can be present in patients with intracardiac malignancies, myxomas, lipomas, or other cardiac masses. It is important to recognize the transesophageal echocardiography (TEE) characteristics of these pathologies to arrive at an accurate diagnosis with an appropriate plan for intraoperative resection. At the authors' institution, patients have been referred for surgery due to a finding of significant LASH masquerading as a left atrial myxoma...
February 11, 2018: Echocardiography
Bess Yeh, Arlene J Hudson, Junewai L Reoma, Christian Popa, John Andersen, John Lichtenberger
Intracardiac heterotopic liver is a very rare entity. The most unique aspect of this entity is the increased carcinogenic potential of the tissue. This condition must be considered when assessing an intracardiac mass along with more common differential diagnoses such as neoplasms, thrombi, and vegetations. In this report, we present a case of a patient who presented to cardiac surgery for elective excision of a right atrial mass that was determined to be an accessory liver lobe. We discuss the diagnostic challenges, clinical management, and surgical and anesthetic implications of this rare finding...
January 1, 2018: Military Medicine
Ganesh Kumar Munirathinam, Bhupesh Kumar, Harkant Singh
No abstract text is available yet for this article.
July 10, 2017: Journal of Cardiothoracic and Vascular Anesthesia
Maho Yamashita, Kazuo Eguchi, Masaya Ogawa, Kan Takahashi, Michiaki Nagai, Masahisa Shimpo, Yoshio Misawa, Kazuomi Kario
We experienced a 45-year-old Japanese man who was transferred to our hospital complaining of acute onset of pain and pallor in the right lower limb. Two years earlier, he had complained of repetitive pain at rest and pallor in the left third and fourth fingers. The physical exam and angiography demonstrated occlusion of finger arteries, however we could not reach final diagnosis. Acute arterial occlusive disease in the right lower limb was suspected. Transthoracic echocardiography demonstrated a gross tumor in the left atrium, which suggested left atrial myxoma...
2018: International Heart Journal
Edvard Skripochnik, Lisa Marie Terrana, Nicos Labropoulos, Melissa Henretta, Todd Griffin, Shang A Loh
Intravascular leiomyomatosis (IVL) is a benign smooth muscle tumor that evolves from the pelvic veins and can spread to the central veins and heart. Cardiac involvement is the most commonly reported presentation. Initial diagnosis is difficult, and IVL is commonly misdiagnosed as thrombus or atrial myxoma. Appropriate imaging and a high clinical suspicion are required for accurate diagnosis. We report a rare case of IVL in the external iliac vein that recurred 4 years after hysterectomy. Only four cases have been reported in the literature to involve the external iliac vein as it has no direct connection to pelvic venous drainage...
June 2017: Journal of Vascular Surgery Cases and Innovative Techniques
Narinder Pal Singh, Swapan Deep Singh Nagpal, Arun Kumar Goel, Bhupendra Kr Dhingra
Cardiac myxomas are rare tumors. Esophageal adenocarcinomas are common tumors of the gastrointestinal tract. Simultaneous occurrence of these tumors has not been reported. A 52-year-old gentleman presented to our hospital with dysphagia and was diagnosed with esophageal adenocarcinoma. Routine echocardiography discovered a cardiac tumor in the left atrium. The cardiac tumor was surgically removed and biopsy confirmed a myxoma. We removed the cardiac tumor as the first step and then initiated neoadjuvant chemotherapy...
January 1, 2018: Asian Cardiovascular & Thoracic Annals
Hayato Ise, Natsuya Ishikawa, Sentaro Nakanishi, Hiroyuki Kamiya
Ischemic stroke is uncommon in pediatric populations and is sometimes caused by cardiac myxoma. In such cases, neurological deficits initially present in ischemic stroke due to emboli or thrombi of the myxoma. Echocardiography is helpful to diagnose myxoma in a timely manner and allows urgent surgical resection of the myxoma. We report a successful case of myxoma in a 7-year-old boy who initially presented with left-sided hemiparesis.
January 12, 2018: Surgical Case Reports
Tarun Kumar, Satyam Rajvanshi, Ajay Kumar Sharma, Neeraj Pandit
Large intracavitary masses such as those occupying most of a cardiac chamber and obstructing blood flow are not routinely encountered in clinical practice. The differential diagnosis includes neoplastic as well as nonneoplastic causes. Primary cardiac tumors by themselves are uncommon. We hereby report a rare case of a middle-aged female presenting with New York Heart Association Class III symptoms, whose transthoracic echocardiogram revealed a huge mass in right-sided chambers with a novel double ball valve type movement...
October 2017: Heart Views: the Official Journal of the Gulf Heart Association
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