Left ventricular recurrence of a resected left atrial myxoma

1989 ◽  
Vol 117 (6) ◽  
pp. 1390-1392 ◽  
Author(s):  
Gregory S. Pavlides ◽  
Robert N. Levin ◽  
Andrew M. Hauser
Author(s):  
António Fontes ◽  
Nuno Dias-Ferreira ◽  
Anabela Tavares ◽  
Fátima Neves

Abstract Background Myocarditis is an uncommon, potentially life-threatening disease that presents with a wide range of symptoms. In acute myocarditis, chest pain (CP) may mimic typical angina and also be associated with electrocardiographic changes, including an elevation of the ST-segment. A large percentage (20–56%) of myxomas are found incidentally. Case summary A 62-year-old female presenting with sudden onset CP and infero-lateral ST-elevation in the electrocardiogram. The diagnosis of ST-elevation myocardial infarction was presumed and administered tenecteplase. The patient was immediately transported to a percutaneous coronary intervention centre. She complained of intermittent diplopia during transport and referred constitutional symptoms for the past 2 weeks. Coronary angiography showed normal arteries. The echocardiogram revealed moderate to severe left ventricular systolic dysfunction due to large areas of akinesia sparing most of the basal segments, and a mobile mass inside the left atrium attached to the septum. The cardiac magnetic resonance (CMR) suggested the diagnosis of myocarditis with concomitant left atrial myxoma. The patient underwent resection of the myxoma. Neurological evaluation was performed due to mild vertigo while walking and diplopia in extreme eye movements. The head magnetic resonance imaging identified multiple infracentimetric lesions throughout the cerebral parenchyma compatible with an embolization process caused by fragments of the tumour. Discussion Myocarditis can have various presentations may mimic acute myocardial infarction and CMR is critical to establish the diagnosis. Myxoma with embolic complications requires emergent surgery. To the best of our knowledge, this is the first case reported in the applicable literature of a myxoma diagnosed during a myocarditis episode.


2006 ◽  
Vol 103 (6) ◽  
pp. 1406-1407 ◽  
Author(s):  
James H. Abernathy ◽  
Andrew B. Locke ◽  
Stanton K. Shernan

2020 ◽  
Vol 25 (2) ◽  
pp. 39-41
Author(s):  
Alexandra Stoica ◽  
Marius Harpa ◽  
Hussam Al Hussein ◽  
Carmen Opriş ◽  
Cosmin Opriş ◽  
...  

AbstractAortic valve replacement is a safe therapy that can reverse cardiac remodeling and increase cardiac contractility, improve symptoms and quality of life. We presented a case of a 35-year-old male patient admitted to the Emergency Institute for Cardiovascular Disease and Transplantation of Târgu Mureș, Romania, due to severe aortic stenosis with severely depressed ejection fraction, left atrial myxome and a history of deep vein thrombosis and pulmonary thromboembolism. He underwent excision of the aortic valve and replacement with a mechanical prosthesis, excision of left atrial myxoma and tricuspid annuloplasty. The postoperative evolution was favourable with a significant recovery of the left ventricular systolic function and regression of cardiac symptomatology. This case was particular due to the rapid progression of the aortic pathology with the reduction of cardiac (systolic) function in a relatively short time as well as the occurrence of the thromboembolic event unrelated to the left atrial myxoma and rather associated with the background of cardiac failure with low cardiac output.


Pulse ◽  
2018 ◽  
Vol 10 (1) ◽  
pp. 29-33
Author(s):  
T Meher ◽  
SMAZN Palash ◽  
MK Hasan ◽  
TMNS Khan ◽  
NM Zahangir ◽  
...  

Atrial Myxoma is the most common primary cardiac tumors accounting for about 50% of benign primary cardiac tumors, with the majority located in the left atrium. This is a case of large left atrial (LA) myxoma presented with features of mitral stenosis associated with moderate left ventricular failure (LVF) and mild pulmonary artery hypertension (PAH) The patient improved markedly after tumor excision.Pulse Vol.10 January-December 2017 p.29-33


2020 ◽  

A left atrial myxoma is the most common benign tumor of the heart, but it is still uncommon, with a reported prevalence of 0.03% in the general population. In developing countries, patients may present late with a stroke or with pulmonary artery hypertension and ventricular dysfunction. We may need to address the mitral and tricuspid valves in such cases. This video tutorial illustrates the technical aspects of myxoma excision along with modified De Vega tricuspid annuloplasty. The mitral valve was structurally normal and free from tumor; therefore, it was not touched in the first place but had to be repaired because there was severe regurgitation after the tumor was excised. The presence of left ventricular dysfunction can indicate a dilated mitral annulus and the need to repair the mitral valve.


1979 ◽  
Vol 13 (2) ◽  
pp. 111-114
Author(s):  
David W. Burke ◽  
James Karo ◽  
Pedro Diaz ◽  
Sidney Goldstein ◽  
Paul D. Stein

2019 ◽  
Vol 2 (3) ◽  
pp. 136-139
Author(s):  
Beye SM ◽  
Ndichout A ◽  
Diop KR ◽  
Tabane A ◽  
Rissonga MK ◽  
...  

Introduction: Left atrial myxoma is a rare benign tumor. It can be an embolic complication such as an ischemic stroke. Case presentation: It was a 48 years old patient who was referred to our unity for the etiological investigation of an ischemic stroke. She did not have personal medical and surgical history. She had a recent right hemiplegia. The cardiac auscultation found a mitral diastolic murmur. The brain CT showed a recent ischemic stroke in the superficial and deep left sylvian territory. The transthoracic echography revealed a myxomatous mass, responsible of an obstacle of the left ventricular filling. Anticoagulation by antivitamin K (AVK) had been initiated and a resection of the mass indicated. Conclusions: The left atrial myxoma is a rare benign tumor whose mode of revelation can be an embolic complication. The Echocardiography is reference imaging modality in diagnosis with a high sensitivity.


Angiology ◽  
2006 ◽  
Vol 57 (1) ◽  
pp. 119-122 ◽  
Author(s):  
Anand Chockalingam ◽  
V. Jaganathan ◽  
G. Gnanavelu ◽  
Smrita Dorairajan ◽  
V. Chockalingam

2012 ◽  
Vol 5 ◽  
pp. CCRep.S9729
Author(s):  
Dike B Ojji ◽  
Manmak H Mamven ◽  
Odiase Omonua ◽  
Zaiyad Habib ◽  
Hamamatu Osaze ◽  
...  

Cardiac myxoma is a benign (non-malignant) neoplasm that represents the most common primary tumour of the heart. We present the case of a 36 year old woman with background hypertension who presented with features of left ventricular failure and seizures, and was found during transthoracic echocardiography to have left atrial myxoma protruding through the mitral valve orifice. She subsequently had excision of the atrial myxoma. The usefulness of early transthoracic echocardiography in any patient presenting with features of heart failure even when the aetiology seems obvious cannot be over-emphasised.


Sign in / Sign up

Export Citation Format

Share Document