scholarly journals Extramedullary intracardiac multiple myeloma misdiagnosed as a thrombus: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ling Peng ◽  
Rurong Wang
Keyword(s):  
Multiple Myeloma ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Surgical Intervention ◽  
Vena Cava ◽  
Right Atrial ◽  
Pathological Examination ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
The Right

Abstract Background Extramedullary intracardiac multiple myeloma (MM) is extremely rare. Patients with extramedullary intracardiac MM may suffer from a poor prognosis. Experience in the diagnosis and therapy of cardiac involvement in MM is limited. Herein, we describe a 67-year-old male with extramedullary intracardiac MM who was initially misdiagnosed with a thrombus. Case presentation A 67-year-old male was admitted for exertional dyspnea and fatigue. The patient was diagnosed with MM one year earlier and had complete remission after chemotherapy. He was implanted with a permanent pacemaker two months prior due to sick sinus syndrome. After this admission, transthoracic echocardiography (TTE) and computed tomography (CT) confirmed the existence of a large right atrial mass extending to the superior and inferior vena cava. We initially considered the right atrial mass as a thrombus and performed surgical treatment for the patient. The surgical intervention partially relieved the obstruction of the superior and inferior vena cava and improved hemodynamics. Postoperative pathological examination of the right atrial mass suggested malignant plasmacytoma associated with MM. After recovery from the surgery, the patient received one cycle of chemotherapy. A follow-up of seven months revealed that our patient was still alive with a good general condition. Conclusions Increasing the awareness of extramedullary intracardiac lesions in patients with MM is warranted. Our case confirmed that surgical intervention followed by adjuvant chemotherapy could improve the patient’s hemodynamics and achieve remission of cardiac symptoms.

scholarly journals Renal Cell Carcinoma presenting as a Right Atrial Mass

2014 ◽  
Vol 2 (2) ◽  
pp. 65-67
Author(s):  
Arun Subramanian ◽  
Minati Choudhary ◽  
Ujjwal Chowdhary
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava ◽  
Right Atrial ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
The Right

ABSTRACT Renal cell carcinoma (RCC) has a tendency to invade the renal vein and thereby reach the right heart through inferior vena cava (IVC). This may necessitate a combined surgical procedure usually under cardiopulmonary bypass (CPB). In the following discussion, we shall present a case of right RCC extending into the right atrium. The patient underwent a radical nephrectomy followed by removal of the tumor from right atrium, IVC and hepatic vein under CPB. How to cite this article Subramanian A, Choudhary M, Chowdhary U. Renal Cell Carcinoma presenting as a Right Atrial Mass. J Perioper Echocardiogr 2014;2(2):65-67

scholarly journals Advanced Hepatocellular Carcinoma with Subtotal Occlusion of the Inferior Vena Cava and a Right Atrial Mass

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Christian Steinberg ◽  
Suzanne Boudreau ◽  
Felix Leveille ◽  
Marc Lamothe ◽  
Patrick Chagnon ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Inferior Vena Cava ◽  
Right Atrium ◽  
Inferior Vena ◽  
Vena Cava ◽  
Great Majority ◽  
Right Atrial ◽  
Advanced Hepatocellular Carcinoma ◽  
Regional Lymph Nodes ◽  
The Right

Hepatocellular carcinoma usually metastasizes to regional lymph nodes, lung, and bones but can rarely invade the inferior vena cava with intravascular extension to the right atrium. We present the case of a 75-year-old man who was admitted for generalized oedema and was found to have advanced HCC with invasion of the inferior vena cava and endovascular extension to the right atrium. In contrast to the great majority of hepatocellular carcinoma, which usually develops on the basis of liver cirrhosis due to identifiable risk factors, none of those factors were present in our patient.

scholarly journals A Rare Case of an Ectopic Liver Presenting as Right Atrial Mass

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Adhirath Doshi ◽  
Dhaval Shah ◽  
Shradha Gupta ◽  
Deepika Panday ◽  
Arie Farji-Cisneros ◽  
...  
Keyword(s):  
Inferior Vena ◽  
Abdominal Cavity ◽  
Vena Cava ◽  
Surgical Excision ◽  
Right Atrial ◽  
Hepatic Tissue ◽  
Transesophageal Echocardiogram ◽  
Right Atrial Mass ◽  
The Right ◽  
Ectopic Liver

Ectopic liver tissue is commonly observed in the abdominal cavity in adjacent organs. Extension of hepatic tissue into the intrathoracic cavity is rarely reported. We present the case of a 46-year-old woman with a 2.1×1.8 cm mass confirmed by transesophageal echocardiogram to be at the right atrial and inferior vena cava junction that was initially thought to be a myxoma which prompted surgical excision but subsequently identified as ectopic liver by histology.

scholarly journals Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series

2019 ◽  
Vol 47 (7) ◽  
pp. 3465-3474
Author(s):  
Guangze Luo ◽  
Hongrui Pan ◽  
Jiaxue Bi ◽  
Yudong Luo ◽  
Jiechang Zhu ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Case Series ◽  
Iliac Vein ◽  
Right Atrial ◽  
Intravenous Leiomyomatosis ◽  
Right Heart ◽  
The Right

Objective This study was performed to investigate the surgical treatment of intravenous leiomyomatosis involving the right heart. Methods The clinical data of five patients with intracardiac leiomyomatosis treated from April 2002 to October 2017 at a single center were retrospectively analyzed. Results All five patients underwent successful intravenous and right atrial tumor removal via abdominal and inferior vena cava incisions. In three patients, these incisions were combined with thoracotomy and a right atrial incision, and in two patients, they were combined with uterine and bilateral fallopian tube and ovarian resection. One patient with advanced disease underwent a one-stage procedure and died thereafter. Of the remaining four patients who underwent follow-up for 1.5 to 12.0 years, one developed recurrence at 1 year postoperatively. The recurrent tumor, which was pathologically confirmed to be an intravenous leiomyoma, was removed via inferior vena cava and internal iliac vein incisions without subsequent recurrence. Conclusions The main treatment goal for inferior vena cava leiomyomas involving the right heart is to first address the severe obstruction of cardiac blood flow and then pursue second-stage surgery. Concurrent thoracotomy appears unnecessary because moderately sized right heart tumors can be gently removed via the inferior vena cava.

scholarly journals Right Atrial Fibroelastoma Presenting as Typical Atrial Flutter: Rare Disease in Unusual Location

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Ahmad Abuarqoub ◽  
Ghada Elshimy ◽  
Muhammed Shittu ◽  
Aiman Hamdan ◽  
Fayez Shamoon
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Flutter ◽  
Right Atrium ◽  
Inferior Vena ◽  
Vena Cava ◽  
Right Atrial ◽  
Unusual Location ◽  
Typical Atrial Flutter ◽  
The Right ◽  
Right Atria

Typical atrial flutter as initial presentation of papillary fibroelastoma involving the cavotricuspid isthmus is not described before in literature. To our knowledge only 14 cases have been reported in literature involving the right atrium. Very unusual location is at the junction between inferior vena cava (IVC) and right atria as only 1 case has been reported.

scholarly journals THE MIGRATION OF VENA CAVA FILTER TO THE RIGHT ATRIUM - A CLINICAL CASE

2021 ◽  
pp. 14-15
Author(s):  
V. Voskanyan
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena Cava Filter ◽  
Clinical Case ◽  
Inferior Vena ◽  
Vena Cava ◽  
Vena Cava Filter ◽  
Right Atrial ◽  
Ivc Filter ◽  
Different Types ◽  
The Right

The implantation of a removable inferior vena cava (IVC) filter serves as an effective "bridge" to anticoagulant therapy. However, different types of recoverable inferior vena cava filter failures have been reported. Most of these failures were associated with endovascular treatment, device problems, filter hook intimal migration, filter disintegration, filter-related thrombosis, and right atrial / ventricular migration.

scholarly journals Radiation induced myxoma of superior vena cava origin presenting as a right atrial mass

1970 ◽  
Vol 52 (195) ◽  
pp. 952-954
Author(s):  
Feridoun Sabzi ◽  
Reza Faraji
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Right Atrial ◽  
Cardiac Tumors ◽  
Atrial Mass ◽  
Heart Chamber ◽  
Right Atrial Mass ◽  
Radiation Induced ◽  
The Right

Myxomas are the most common benign cardiac tumors. Myxomas are more common in the left heart chamber than the right side chamber. An extracardiac origin presenting as a right atrial mass is very rare. Right-sided tumors are considerably less common than left-sided tumors, and however myxoma of great vessels origin presenting as right atrial masses are rare but radiation induced villous myxoma in superior vena cava (SVC) is exceedingly rare tumor. A case of radiation induced myxoma originating in a previously undescribed location and presenting as a right atrial mass is reported. Keywords: myxoma; right atrial; vena cava. 

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