Minimally invasive resection of a giant left atrial myxoma: a case report

Perfusion ◽  
2019 ◽  
Vol 35 (3) ◽  
pp. 263-266
Author(s):  
Christopher Gaisendrees ◽  
Navid Mader ◽  
Anton Sabashnikov ◽  
Georg Schlachtenberger ◽  
Laura Suhr ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Left Atrial ◽  
Cardiac Myxoma ◽  
Caucasian Woman ◽  
Cardiac Tumors ◽  
Primary Tumors ◽  
Left Atrial Myxoma ◽  
Minimally Invasive Surgical ◽  
Large Size ◽  
Cardiac Myxomas

Cardiac tumors are a rarity. Most diagnosed primary tumors of the heart are benign, with an incidence ranging between 0.001% and 0.03%. Cardiac myxoma is one of these benign entities. A 44-year-old Caucasian woman who presented with symptoms of a common cold was diagnosed with a massive obstructing myxoma of the left atrium. Despite its large size, the tumor was completely removed using minimally invasive access through right anterior thoracotomy. However, the myxoma was adherent to the left atrial septum and was excised in toto. Pathological examinations confirmed the diagnosis of a primary cardiac myxoma. Total resection of obstructive cardiac myxomas is the therapy of choice, whereas minimally invasive surgical approach might be feasible despite large size and septal localization, but is technically challenging.

Management of Cardiac Myxomas

1997 ◽  
Vol 5 (3) ◽  
pp. 158-161
Author(s):  
Lim Yeong Phang ◽  
Tan Yong Seng
Keyword(s):  
Coronary Artery ◽  
Left Atrial ◽  
Artery Bypass ◽  
Cardiac Myxoma ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Primary Tumors ◽  
Left Atrial Myxoma ◽  
Singapore General Hospital ◽  
Cardiac Myxomas

Cardiac myxomas are benign primary tumors of the heart that require prompt surgical intervention because of the possibility of developing syncope and hemodynamic or embolic complications. From 1 January 1981 to 31 December 1996, 20 patients (11 male and 9 female) underwent surgery for cardiac myxoma at Singapore General Hospital. Nineteen patients had a left atrial myxoma and 1 had a right atrial myxoma. Five patients had concomitant coronary artery disease including one with severe mitral regurgitation. Nine patients presented with progressive dyspnea, 5 with systemic embolus, 2 with syncope, 3 with congestive cardiac failure, and 1 with right ventricular failure. In 6 patients the diagnosis was established by cardiac catheterization and 14 patients were diagnosed by two-dimensional echocardiography. Cardiopulmonary bypass with mild to moderate systemic hypothermia was used for excision of the myxoma in all cases. Five patients had concomitant coronary artery bypass grafting and 2 had concomitant mitral valve replacement. There was no hospital mortality among patients who had only excision of the myxoma, including a patient who had a recurrence of her left atrial myxoma 5 years after the initial excision. There were 2 deaths in patients with coexisting cardiac and other diseases. Surgical excision is recommended for all cases of cardiac myxoma. There is little risk associated with this procedure. All patients should be followed up regularly with echocardiographic assessment as there is a small risk of recurrence.

scholarly journals Left Atrial Myxoma with Tricuspid Regurgitation: Pathophysiology, Diagnostic Approach, and Management

2015 ◽  
pp. 28-3
Author(s):  
Prima Almazini ◽  
Bambang Budi Siswanto ◽  
Nani Hersunarti ◽  
Rarsari Soerarso ◽  
Amiliana M Soesanto
Keyword(s):  
Cardiac Myxoma ◽  
Clinical Manifestations ◽  
Definitive Treatment ◽  
Surgical Removal ◽  
Cardiac Tumors ◽  
Gold Standard Method ◽  
Left Atrial Myxoma ◽  
Associated Conditions ◽  
Cardiac Myxomas ◽  
Primary Cardiac Tumors

Cardiac myxomas are the most common primary cardiac tumors. Myxoma are more common in women. Clinical manifestations can mimic many cardiac and noncardiac conditions. Transthoracic echocardiography (TTE) is the gold standard method in the diagnosis of cardiac myxoma. The management of cardiac myxoma are medical therapy for the treatment of associated conditions and surgical removal as the definitive treatment.

Giant Left Atrial Myxoma Misdiagnosed As Schizophrenia: A Case Report

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.

Left Atrial Myxoma and Antiphospholipid Syndrome—A Case Report

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.

scholarly journals Asymptomatic Left Atrial Myxoma Treated With Minimally Invasive Surgical Approach

Cureus ◽  
2021 ◽  
Author(s):  
Tetyana Okan ◽  
Oleksandr Babliak ◽  
Kriti Agarwal ◽  
Yulia Kuzyk ◽  
Santh Prakash Lanka ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Approach ◽  
Left Atrial ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma ◽  
Minimally Invasive Surgical ◽  
Invasive Surgical Approach

scholarly journals Left Atrial Myxoma Presenting as Lateral Medullary (Wallenberg’s) Syndrome

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Simran Gupta ◽  
Ricky Ayala ◽  
Aakash Desai ◽  
Viraj I. Modi ◽  
Robert J. Nardino
Keyword(s):  
Weight Loss ◽  
Pulmonary Edema ◽  
Clinical Features ◽  
Left Atrial ◽  
Cardiac Myxoma ◽  
Young Female ◽  
Atrial Myxoma ◽  
Primary Tumors ◽  
Left Atrial Myxoma ◽  
Facial Numbness

Myxomas are benign, primary tumors of the heart. Atrial myxomas can present with a variety of clinical features including dyspnea, orthopnea, pulmonary edema, and pulmonary or systemic emboli. Constitutional symptoms such as fever and weight loss may also be present. We report the case of a young female presenting with headache, facial numbness, and vertigo, who was found to have a posterolateral medullary stroke secondary to a large left atrial cardiac myxoma.

scholarly journals A case report of left atrial myxoma presenting with amnesia

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.

scholarly journals A rare association of left atrial myxoma with rheumatic mitral stenosis

2016 ◽  
Vol 4 (1) ◽  
pp. 25
Author(s):  
Satyanarayana R Vaidya ◽  
Santhosh R Devarapally
Keyword(s):  
Left Atrium ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Atrial Myxoma ◽  
Atrial Septum ◽  
Cardiac Tumors ◽  
Primary Tumors ◽  
Left Atrial Myxoma ◽  
Rare Association ◽  
Rheumatic Mitral Stenosis

Primary cardiac tumors are very rare. Atrial myxomas are the most common primary tumors and are commonly located in the left atrium. Myxomas can cause mitral valve inflow obstruction and can present with clinical signs and symptoms of mitral stenosis and the possibility of myxoma should be considered in differential diagnosis of mitral stenosis.  Left atrial myxoma is rarely associated with rheumatic mitral stenosis. Transesophageal echocardiography plays a major role in the diagnosis of this tumor. We report a case of an extremely rare association between left atrial myxoma and rheumatic mitral stenosis. Because of its location and mobility, a thrombus in the left atrium may have a similar appearance to left atrial myxoma. However, a careful inspection of features of the left atrial mass may allow a diagnosis of left atrial myxoma. In our case, the site near the atrial septum, heterogeneous echogenicity, and detection of a stalk connecting  the myxoma to the atrial septum were inspected. Such findings essentially exclude thrombus.

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

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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