A Late Case of Ischemic Cerebral Event after Resection of a Left Atrial Myxoma

Atrial myxoma is one of the most common primary cardiac tumors reported in the literature. In very rare instances, stroke has been the sequelae after a myxomatous tumor resection. We report this unique case of late ischemic cerebral event in a 46-year-old female some days after resection of a left atrial myxoma.

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Left Atrial Myxoma in Pregnancy: A Challenge in Diagnosis and Management

Indonesian Journal of Cardiology ◽

10.30701/ijc.v35i1.373 ◽

2015 ◽

pp. 34-9

Author(s):

Rony Mario Candrasatria, ◽

Bambang Budi Siswanto ◽

Nani Hersunarti ◽

Rarsari Soerarso ◽

BRM Ario S. Kuncoro ◽

...

Keyword(s):

Left Atrial ◽

Medical Literature ◽

Tumor Resection ◽

Age Groups ◽

Atrial Myxoma ◽

Cardiac Tumors ◽

Hemodynamic Changes ◽

Primary Tumors ◽

Left Atrial Myxoma ◽

Primary Cardiac Tumors

Primary tumors of the heart are rare where myxomas predominate as the most common type of primary cardiac tumors in all age groups. Even rarer, the incidence of myxomas during pregnancy is reported extremely low in the medical literature. The hemodynamic changes during pregnancy play an important role in influencing the clinical manifestation. The management is vary, depending on the week of gestation and risk assessment for both the mother and baby.We report a case of left atrial myxoma in 33-34 weeks of pregnancy. After judicious consideration, the patient was planned to have caesarian section at the full term pregnancy that will be followed one week after by tumor resection.

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Left Atrial Myxoma Hypervascularized from the Right Coronary Artery: An Interesting Cath Lab Finding

Case Reports in Cardiology ◽

10.1155/2016/4865439 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Marcos Danillo Peixoto Oliveira ◽

Adriano Ossuna Tamazato ◽

Fernando Roberto de Fazzio ◽

Luiz J. Kajita ◽

Expedito E. Ribeiro ◽

...

Keyword(s):

Coronary Artery ◽

Right Coronary Artery ◽

Left Atrial ◽

Rare Case ◽

Vascular Supply ◽

Atrial Myxoma ◽

Cardiac Tumors ◽

Left Atrial Myxoma ◽

The Right ◽

Primary Cardiac Tumors

Primary cardiac tumors are rare and approximately half of them are atrial myxomas. They rarely remain asymptomatic, especially if large. The imaging of a myxoma by contrast dye during coronary angiography is an infrequent sign, which clarifies the vascular supply of the tumor. We report herein an interesting and rare case of a left atrial myxoma hypervascularized from the right coronary artery.

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Left Atrial Myxoma with Mild Left Ventricular Dysfunction— A Case Report

Pulse ◽

10.3329/pulse.v10i1.38609 ◽

2018 ◽

Vol 10 (1) ◽

pp. 29-33

Author(s):

T Meher ◽

SMAZN Palash ◽

MK Hasan ◽

TMNS Khan ◽

NM Zahangir ◽

...

Keyword(s):

Case Report ◽

Left Atrial ◽

Ventricular Dysfunction ◽

Pulmonary Artery Hypertension ◽

Left Ventricular ◽

Atrial Myxoma ◽

Cardiac Tumors ◽

Ventricular Failure ◽

Left Atrial Myxoma ◽

Primary Cardiac Tumors

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

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A case report of left atrial myxoma presenting with amnesia

BMC Cardiovascular Disorders ◽

10.1186/s12872-021-02036-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sadegh Shabab ◽

Majid Erfanzadeh ◽

Shamsa Ahmadian ◽

Maryam Mahmoudabady ◽

Naser Mazloum

Keyword(s):

Left Atrial ◽

Cardiac Myxoma ◽

Common Type ◽

Atrial Myxoma ◽

Cardiac Tumors ◽

Surgery Complications ◽

Case Presentation ◽

Left Atrial Myxoma ◽

Primary Cardiac Tumors

Abstract Background Primary cardiac tumors are rare, and approximately 90% of them are benign. Myxoma is the most common type of these tumors occurring in the left atrium in 75–85% of cases. The tumor can cause the left atrio-ventricular valve obstruction and embolization phenomenon. Case presentation We reported a case of 54-year-old man with complaints of dyspenea and amnesia. In our patient, transthoracic echocardiography revealed a mass of 28*63 mm attached to the upper intra-atrial septum, which was prolapsing through the mitral valve into the left ventricle during diastole, being indicative of the left atrial myxoma. On examination, he was alert and conversant, and no pathological abnormality was observed in the examination of cardiovascular, gastrointestinal, respiratory, hepatic, renal and nervous systems. After myxoma diagnosis, the tumor was removed under cardiac surgery and discharged under good conditions. In the telephone follow-up after discharge, the patient recovered and did not report the disease and surgery complications. Conclusions Patients with cardiac myxoma are usually asymptomatic, but they may have manifestations related to the embolism phenomenon or intracardiac obstruction. Therefore, myxoma may represent an emergency. Surgery should be performed as soon as possible. If surgery is delayed, the patient may suffer from serious and irreversible complications, such as stroke and cardiac arrest.

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Recurrent atrial myxoma, right atriotomy, and sinus node dysfunction: A case of interdisciplinary care

The Southwest Respiratory and Critical Care Chronicles ◽

10.12746/swrccc.v6i25.484 ◽

2018 ◽

Vol 6 (25) ◽

pp. 42-46

Author(s):

Erwin Argueta ◽

Kelly Ratheal ◽

Sofia Prieto ◽

Ralph Paone ◽

Leigh Ann Jenkins ◽

...

Keyword(s):

Left Atrial ◽

Surgical Intervention ◽

Sinus Node ◽

Atrial Myxoma ◽

Sinus Node Dysfunction ◽

Definitive Treatment ◽

Cardiac Tumors ◽

Interdisciplinary Care ◽

Left Atrial Myxoma ◽

Primary Cardiac Tumors

Primary cardiac tumors are rare, and atrial myxomas represent about half of the benigntumors encountered. When found, definitive treatment is surgical resection. Followingresection of these tumors, recurrence is possible, and these patients need regular follow-up.In the case of recurrence, repeat surgical intervention is feasible, but the potential for moredisruption in atrial anatomy has to be considered. This could contribute to cardiac arrhythmias,and anticipation of these events is necessary to optimize patient care. We present the caseof a woman with a recurrent left atrial myxoma who developed sinus node dysfunction afterresection and discuss her clinical management.

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A Giant Left Atrial Myxoma

Case Reports in Medicine ◽

10.1155/2014/819052 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Medhat F. Zaher ◽

Sharad Bajaj ◽

Mirette Habib ◽

Emile Doss ◽

Michael Habib ◽

...

Keyword(s):

Blood Flow ◽

Bronchial Asthma ◽

Left Atrial ◽

Atrial Myxoma ◽

Cardiac Tumors ◽

Mechanical Obstruction ◽

Left Atrial Myxoma ◽

Systemic Embolization ◽

Primary Cardiac Tumors

Atrial myxomas are the most common primary cardiac tumors. Patients with left atrial myxomas generally present with mechanical obstruction of blood flow, systemic embolization, and constitutional symptoms. We present a case of an unusually large left atrial myxoma discovered incidentally in a patient with longstanding dyspnea being managed as bronchial asthma.

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Left Atrial Myxoma A Clinical Case

Cardiology Open Access ◽

10.33140/coa.04.03.04 ◽

2019 ◽

Vol 4 (3) ◽

Keyword(s):

Electrical Conduction ◽

Left Atrial ◽

Clinical Case ◽

Atrial Myxoma ◽

Cardiac Tumors ◽

Left Atrial Myxoma ◽

Great Vessels ◽

Life Threatening

Cardiac tumors are generally benign. But its danger lies not in its potential malignancy, but in its location. These tumors settle inside the cardiac cavities, at the origin or mouth of the great vessels or even on the valves. This can obviously lead to life-threatening complications, either due to mechanical causes or disturbances in the electrical conduction of the heart.

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Giant Left Atrial Myxoma Misdiagnosed As Schizophrenia: A Case Report

10.21203/rs.3.rs-49221/v1 ◽

2020 ◽

Author(s):

Hongfei Xu ◽

Wei Si ◽

Yiran Zhang ◽

Yiming Ni ◽

Weidong Li

Keyword(s):

Left Atrium ◽

Left Atrial ◽

Tumor Resection ◽

Cardiac Myxoma ◽

Health Department ◽

Cardiac Tumors ◽

Left Atrial Myxoma ◽

Giant Tumor ◽

Atrial Enlargement ◽

Mental Health Department

Abstract Background: Primary cardiac tumors are rare. Myxoma is the most common cardiac tumor and presents in the left atrium. Improvements tend to occur with early diagnosis, and with the help of high-resolution imaging technology, such as transesophageal echocardiography (TEE). Patients typically present with tightness of the chest, fatigue and lassitude. There are also cases of misdiagnosis and missed diagnosis. Case presentation: A 59-year-old Chinese woman complained of tightness in her chest, fatigue and lassitude for eight years. She had been misdiagnosed with schizophrenia by the local rural hospital. Computed tomography (CT) confirmed a giant mass in the left atrium, and transthoracic echocardiography (TTE) revealed left atrial enlargement with an occupying lesion. For this patient, we performed tumor resection surgery with a cardiopulmonary bypass. The giant tumor was partially detached during the operation, and the thrombus was removed successfully. After the operation, the mental health department of our hospital thought that the patient's diagnosis of schizophrenia was misdiagnosed. The patient recovered well and appeared rejuvenated after the operation. A two-year follow-up found no adverse events since the operation. Conclusions: When making a diagnosis for a patient who presented with tightness of the chest, we need to administer a cardiac physical examination and echocardiography. The physician diagnosing schizophrenia needs to first rule out any organic diseases. A careful and complete resection of the cardiac myxoma is a vital operation, due to the risk of thromboembolism.

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Left Atrial Myxoma and Antiphospholipid Syndrome—A Case Report

International Journal of Angiology ◽

10.1055/s-0041-1740103 ◽

2021 ◽

Author(s):

Mijo Meter ◽

Diana Meter ◽

Toni Ceprnja ◽

Dijana Perkovic

Keyword(s):

Case Report ◽

Antiphospholipid Syndrome ◽

Lupus Erythematosus ◽

Left Atrial ◽

Imaging Modality ◽

Cardiac Myxoma ◽

Atrial Myxoma ◽

Cardiac Tumors ◽

Left Atrial Myxoma ◽

Initial Imaging

AbstractCardiac myxoma (CM) is the most frequent type of primary cardiac neoplasm and is responsible for 58 to 80% of primary cardiac tumors. The antiphospholipid syndrome (APS) occurs most commonly in the systemic lupus erythematosus but it can be also found in other conditions. The coexistence of CM and APS is rarely described in the literature. We report an unusual case of the left atrial myxoma and concomitant APS in a female patient who presented with right-sided hemiplegia. Although rare, we must think about the CM in patients with a newly diagnosed APS and left atrial mass. Nevertheless, we must make a distinction from other possible cardiac structures, especially atrial thrombus. Transthoracic echocardiography is the most frequently used initial imaging modality to detect CM. The aim of this case report was to emphasize that additional imaging modalities and multidisciplinary approach are mandatory in making a proper diagnosis and to choose a further treatment strategy.

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Multiple Intracranial Aneurysms as Delayed Complications of an Atrial Myxoma: Case Report

Neurosurgery ◽

10.1097/00006123-200107000-00031 ◽

2001 ◽

Vol 49 (1) ◽

pp. 200-203 ◽

Cited By ~ 1

Author(s):

Walter C. Jean ◽

Sabrina M. Walski-Easton ◽

Eric S. Nussbaum

Keyword(s):

Intracranial Aneurysms ◽

Tumor Resection ◽

Delayed Cerebral Ischemia ◽

Neurological Complications ◽

Atrial Myxoma ◽

Neurological Symptoms ◽

Definitive Treatment ◽

Cardiac Tumors ◽

Multiple Intracranial Aneurysms ◽

Left Atrial Myxoma

Abstract OBJECTIVE AND IMPORTANCE Atrial myxomas are rare cardiac tumors that may cause neurological complications; however, delayed neurological events after total tumor resection are rare. In this report, we present a patient who developed transient cerebral ischemic attacks and was found to have multiple intracranial aneurysms 5 years after successful resection of her atrial myxoma. At the time of myxoma resection, there were no neurological symptoms; at the time of presentation with transient ischemic attacks, there was no evidence of atrial recurrence. CLINICAL PRESENTATION A 32-year-old woman presented with five episodes of right arm and face paresthesia, each lasting 15 to 20 minutes, 5 years after successful resection of her atrial myxoma. Clopidogrel bisulfate therapy was initiated, with resolution of her symptoms. Angiography revealed multiple, peripherally located, fusiform cerebral aneurysms. INTERVENTION A left frontal craniotomy for resection and biopsy of one of the aneurysms was performed, to establish the diagnosis. Pathological analysis of the biopsied aneurysm provided evidence of direct atrial myxoma invasion and occlusion of the cerebral blood vessel. CONCLUSION Neurological symptoms may accompany or lead to the diagnosis of atrial myxoma. Rarely, as in this case, myxomatous aneurysms may develop years after definitive treatment of the primary tumor. Patients who have undergone successful resection of a left atrial myxoma may be at risk for delayed cerebral ischemia associated with aneurysm development, and this phenomenon must be considered for patients with neurological symptoms who present even years after myxoma removal. The natural history, pathophysiological features, and treatment dilemma of these aneurysms are discussed.

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