scholarly journals Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Pragya Ranjan ◽  
Gina LaRocca ◽  
Javier Sanz ◽  
Lori Croft

Abstract Background  Atrial myxomas are the most common benign cardiac tumours. This case highlights an unusual presentation and complex management of a patient who was incidentally found to have a left atrial tumour concerning for a myxoma. Case summary  A 54-year-old-woman presented with symptoms of nausea and vomiting and was found to have a left atrial mass incidentally in addition to a renal infarct. She was also found to have COVID-19 and the mass was initially thought to be a thrombus. With the help of multimodality imaging, it was determined that the mass was an atrial myxoma and she was started on short-term anticoagulation to prevent recurrent embolization. After 6 weeks of anticoagulation, she successfully underwent elective resection of the mass which was confirmed to be myxoma with superimposed thrombus. Discussion  It is difficult to differentiate cardiac tumours from intracardiac thrombus and multimodality cardiac imaging is crucial to make an accurate diagnosis. While the treatment of atrial myxomas involves early surgical resection, it becomes more complicated with concurrent COVID-19 infection.

2010 ◽  
Vol 6 (2) ◽  
pp. 40
Author(s):  
Rey P. Vivo ◽  
Selim R. Krim ◽  
Jeffrey D. Dela Cruz ◽  
Mahesh Ramchandani ◽  
Dipan J. Shah ◽  
...  

2018 ◽  
Vol 88 (3) ◽  
Author(s):  
Domenico Galzerano ◽  
Claudio Pragliola ◽  
Mohamed Al Admawi ◽  
Mario Mallardo ◽  
Sara Di Michele ◽  
...  

We describe a case of a left atrial myxoma atypical for its anatomical features and site of attachment. Although an initial multimodality imaging was performed, the diagnosis of myxoma was possible only by three dimensional echocardiography (3DE) which was able to identify the pedicle and the attachment at the base of the interatrial septum, close to the origin of right inferior pulmonary vein. In fact the 3DE can electronically section the structures and obtain unique planes useful in visualizing correctly the anatomical features of the myxomas and as a result, it facilitates the surgical decision planning. Even the anatomical appearance was uncommon at surgery and the diagnosis could be confirmed only by pathology.  This case highlights the diagnostic ability of the 3DE in similar challenging scenarios. 


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Christina Maria Steger ◽  
Thomas Hager ◽  
Elfriede Ruttmann

Primary cardiac tumours are extremely rare with the most commonest being left atrial myxomas. In general, surgical resection is indicated, whenever the tumour formation is mobile and embolization can be suspected. Within 17280 patients receiving heart surgery at the Innsbruck Medical University, 78 patients (0.45%) underwent tumourectomy of primary cardiac tumours. The majority of patients (63) suffered from a left or right atrial myxoma, 12 showed a papillary fibroelastoma of the valves at echocardiographical or histological examination, 1 suffered from a hemangioma, 1 from a chemodectoma, and another one from a rhabdomyosarcoma. The mean age of cardiac tumour patients was 54.29 ± 13.28 years (ranging from 18 to 83 years). 67.95% of the patients were female and 32.05% were male. The majority of tumours were found incidentally; 97.44% of the patients showed no tumour recurrence.


2010 ◽  
Vol 6 (2) ◽  
pp. 40-42 ◽  
Author(s):  
Rey P. Vivo ◽  
Selim R. Krim ◽  
Jeffrey D. Dela Cruz ◽  
Mahesh Ramchandani ◽  
Dipan J. Shah ◽  
...  

Circulation ◽  
1977 ◽  
Vol 55 (1) ◽  
pp. 88-92 ◽  
Author(s):  
G M Pohost ◽  
J O Pastore ◽  
K A McKusick ◽  
P N Chiotellis ◽  
G Z Kapellakis ◽  
...  

1979 ◽  
Vol 31 (Supplement) ◽  
pp. S20-S28
Author(s):  
Tamotsu Osawa ◽  
Kazutoshi Hirose ◽  
Satoshi Sawada ◽  
Hiroshi Hamada

1989 ◽  
Vol 14 (2) ◽  
pp. 101-103
Author(s):  
MICHAEL G. McLAUGHLIN ◽  
LAWRENCE C. SWAYNE ◽  
STELIO MANGIOLA

2017 ◽  
Vol 5 (1) ◽  
pp. 31-33
Author(s):  
Vandana Bhardwaj ◽  
Neeti Makhija ◽  
Amolkumar Bhoje ◽  
Kamal K Chitara

ABSTRACT Atrial myxoma is the most frequent intracardiac tumor, accounting for nearly 50% of benign cardiac tumours in adults. We present here a rare case report of a solitary left atrial myxoma attached to the left atrial wall near the origin of the right pulmonary vein. The stalk of tumor was not attached to the interatrial septum, which is the most common site of attachment. Instead, it was attached on the wall of left atrium adjacent to the interatrial septum. Surgical exploration confirmed its attachment in the left atrium near the origin of right upper pulmonary vein. How to cite this article Bhardwaj V, Makhija N, Bhoje A, Chitara KK. Left Atrial Myxoma with an Unusual Origin near Right Pulmonary Vein. J Perioper Echocardiogr 2017;5(1):31-33.


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