Atrial Myxoma Presenting with Aphasia Alone: A Case Report

Atrial myxomas are the most common primary heart tumours. Symptoms are produced by mechanical interference with cardiac function or embolization. Neurological symptoms may occur approximately in one third of the patients. We report a patient who was admitted to the emergency department with only a complaint of complete aphasia and without other neurological signs and symptoms. Transthoracic echocardiography demonstrated a large mobile mass sized 4 × 4.5 cm prolapsing into the left ventricle through the mitral valve from the left atrium, suggesting the diagnosis of atrial myxoma. After surgery, aphasia resolved completely. Our objective is to inform clinicians that aphasia alone can be a symptom of atrial myxoma.

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An Unusual Case of Pelvic Appendicitis

PEDIATRICS ◽

10.1542/peds.58.2.292 ◽

1976 ◽

Vol 58 (2) ◽

pp. 292-293

Author(s):

Michael A. LaCombe

Keyword(s):

Emergency Department ◽

Case Report ◽

Early Diagnosis ◽

Unusual Case ◽

Signs And Symptoms ◽

Memorial Hospital ◽

Pubic Bone ◽

Bowel Habit ◽

Gross Hematuria ◽

Misleading Interpretation

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.

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P841 Case report of cardiac myxoma presenting with palpitations in young female

European Heart Journal - Cardiovascular Imaging ◽

10.1093/ehjci/jez319.490 ◽

2020 ◽

Vol 21 (Supplement_1) ◽

Author(s):

A Nalmpantis

Keyword(s):

Case Report ◽

Mitral Valve ◽

Cardiac Function ◽

Left Atrium ◽

Cardiac Myxoma ◽

Young Female ◽

Normal Function ◽

Atrial Myxoma ◽

Surgical Removal ◽

Common Symptom

Abstract Funding Acknowledgements none Introduction Atrial myxoma is a benign tumor of the heart , most commonly found in left atrium. The tumor must be surgically removed, because if remain untreated can lead to embolism, to arrhythmia and/or obstruction of mitral valve. Case report A 29 years old female presented due to palpitations and fatigue In the last two-three months. From recent blood tests she had a normal hematocrit and normal function of the thyroid gland. From the physical examination she had a blood pressure of 95/55 mmHg, S1S2 without any murmur, ECG with sinus rhythm and rsr" pattern. A bedside transthoracic echocardiography has performed and the findings were normal left systolic cardiac function, normal right systolic cardiac function, a large mass in left atrium without obstruction of mitral valve and a mild mitral regurgitation. The young female has been submitted for surgical removal of the cardiac mass and the anatomopathological examination has confirmed the benign nature of the atrial myxoma. Conlusion A common symptom such as palpitations are , has lead the young female to us in order to evaluate her and finally to reveal a benign cardiac tumor . Abstract P841 Figure. myxoma

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Left Ventricle Pseudoaneurysm After Mitral Valve Replacement: Case Report and Literature Update

ARQUIVOS BRASILEIROS DE CARDIOLOGIA - IMAGEM CARDIOVASCULAR ◽

10.5935/2318-8219.20180030 ◽

2018 ◽

Vol 31 (3) ◽

Author(s):

Pedro Rafael de Oliveira Nascimento ◽

Gustavo Henrique Belarmino de Góes ◽

Diana Patricia Lamprea Sepulveda ◽

Ricardo Carvalho Lima ◽

José Maria Del Castillo ◽

...

Keyword(s):

Case Report ◽

Mitral Valve ◽

Left Ventricle ◽

Valve Replacement ◽

Mitral Valve Replacement

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Giant Left Atrial Myxoma Presenting with Cough-Syncope Syndrome

The Heart Surgery Forum ◽

10.1532/hsf.3991 ◽

2021 ◽

Vol 24 (4) ◽

pp. E7090-E712

Author(s):

Esra Ertürk tekin

Keyword(s):

Mitral Valve ◽

Left Ventricle ◽

Left Atrium ◽

Left Atrial ◽

Interatrial Septum ◽

Atrial Myxoma ◽

Transesophageal Echocardiogram ◽

Left Atrial Myxoma ◽

Cardiac Surgeon ◽

The Mean

We report the case of a 41-year-old female patient with symptoms of cerebrovascular accident manifesting with loss of consciousness during episodes of cough. Computed multislice chest tomography showed a 7.3- by 4.15-cm mass in the left atrium. A transesophageal echocardiogram showed a giant mass in the left atrium that passed through the mitral valve to the left ventricle, and severe obstructive stenosis was suggested by the mean transmitral gradient. After a comprehensive assessment of the mass, we decided to perform surgery. The pedunculated and fragile mass was attached to the interatrial septum with its handle, and the majority of it prolapsed through the mitral valve to the left ventricle and became stacked among the mitral valve leaflets. The removed mass was analyzed histopathologically and was found to be a myxoma. It is important for the cardiac surgeon to surgically remove an atrial myxoma because of the risks associated with embolization, including sudden death, as myxoma can block the blood supply from the atrium to the ventricle.

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Sepsis-induced Autoimmune Hemolytic Anemia: A Case Report

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2020.8.49040 ◽

2020 ◽

Vol 4 (4) ◽

pp. 668-670

Author(s):

Zach Edwards ◽

Stephen DeMeo

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Case Report ◽

Hemolytic Anemia ◽

Patient Outcomes ◽

Autoimmune Hemolytic Anemia ◽

Rare Complication ◽

Signs And Symptoms ◽

Emergency Physicians ◽

Colonic Diverticula

Introduction: Sepsis commonly brings patients to the emergency department (ED). Patient outcomes can vary widely. In some cases, rare complications of sepsis such as autoimmune hemolytic anemia can occur. Case Report: A 68-year-old female presented with sepsis secondary to infected nephrolithiasis. The patient had signs and symptoms consistent with hemolysis upon arrival to the ED. Her hemolysis progressively worsened over a two-day period leading to a diagnosis of warm autoimmune hemolytic anemia. She responded well to treatment; however, her condition began to worsen due to a new infection caused by perforated colonic diverticula. The patient ultimately expired from complications of her perforated colonic diverticula. Conclusion: It is crucial that emergency physicians understand the risk factors, symptoms, pathophysiology, and treatment of this rare complication of sepsis so that favorable patient outcomes can be achieved.

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Solitary neurofibroma of the heart

Journal of International Medical Research ◽

10.1177/0300060520913170 ◽

2020 ◽

Vol 48 (4) ◽

pp. 030006052091317

Author(s):

Pei Jing Li ◽

Jing Ping Sun ◽

Xiao Yan Wang ◽

Chun Li ◽

Zheng Liu ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Cardiac Magnetic Resonance ◽

Magnetic Resonance ◽

Left Ventricle ◽

Transthoracic Echocardiography ◽

Contrast Echocardiography ◽

Histopathologic Examination ◽

Resonance Imaging ◽

Solitary Neurofibroma

Solitary neurofibroma of the heart is extremely unusual. Few reports of neurofibroma in the left ventricle have been published. In this case report, we present the results of transthoracic echocardiography, myocardial contrast echocardiography, cardiac magnetic resonance imaging, and histopathologic examination of a patient with a neurofibroma of the heart. The patient had no evidence of any other metastasis or primary tumor in other organs, which is clinically rare.

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Aspirin misuse: a case report

BJPsych Open ◽

10.1192/bjo.2019.55 ◽

2019 ◽

Vol 5 (5) ◽

Author(s):

David Goldrich ◽

Anita Sreedhar ◽

Rehan Aziz ◽

Kenneth R. Kaufman ◽

Anthony Tobia ◽

...

Keyword(s):

At Risk ◽

Emergency Department ◽

Case Report ◽

Signs And Symptoms ◽

Over The Counter ◽

Medication Misuse ◽

Counter Medication ◽

History Of ◽

Salicylate Intoxication ◽

At Risk Populations

Aspirin-use disorder is an underreported condition. Identification of the signs and symptoms of aspirin misuse are important in light of prevalent non-prescribed medicine/over-the-counter medication (NPM/OTC) misuse. We discuss here the case of a patient with a history of chronic aspirin misuse who presented to the emergency department with salicylate intoxication and described elation secondary to deliberate aspirin consumption. This case highlights the importance of screening for NPM/OTC medication misuse in at-risk populations.

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