Uterine intravenous leiomyomatosis with femoral vein, intracaval, intracardiac and pulmonary artery extension

2020 ◽  
Vol 16 (1) ◽  
pp. 27-32
Author(s):  
Oluwaseun A Akinseye ◽  
Mannu Nayyar ◽  
Pranab Das
Keyword(s):  
Pulmonary Artery ◽  
Femoral Vein ◽  
Vena Cava ◽  
Right Atrial ◽  
Atrial Mass ◽  
Aged Woman ◽  
Right Atrial Mass ◽  
Progesterone Receptor Positivity ◽  
Middle Aged Woman ◽  
High Index Of Suspicion

We report a 54-year-old female with recently diagnosed multiple cardiac thrombi and pulmonary embolism that was treated with thrombolytics and anticoagulants. She presented again with worsening dyspnea and was found to have persistent large cardiac thrombi on echocardiogram. Surgical findings revealed a single right atrial mass originating from inferior vena cava and extending into the pulmonary artery. The mass was successfully removed. Final pathology revealed a benign smooth muscle and vascular mass with estrogen and progesterone receptor positivity favoring uterine intravenous leiomyoma. She was discharged on warfarin and leuprolide therapy. This diagnosis requires a high index of suspicion, especially in a middle-aged woman with right atrial mass and history of an existing leiomyoma, hysterectomy or myomectomy.

scholarly journals Myxoma of right femoral vein origin presenting as a right atrial mass with syncope

1998 ◽  
Vol 116 (4) ◽  
pp. 655-656 ◽  
Author(s):  
Paul S. Ramphal ◽  
Howard W. Spencer ◽  
Derek I.G. Mitchell ◽  
Charles Denbow
Keyword(s):  
Femoral Vein ◽  
Right Atrial ◽  
Atrial Mass ◽  
Right Atrial Mass

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 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. 

scholarly journals Right Atrial Metastatic Melanoma with Unknown Primaries

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Robin Kuriakose ◽  
Rakhi Melvani ◽  
Venkataramanan Gangadharan ◽  
Michael Cowley
Keyword(s):  
Metastatic Melanoma ◽  
Right Atrium ◽  
Vena Cava ◽  
Right Atrial ◽  
Reduced Ejection Fraction ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
History Of ◽  
The Right ◽  
And Function

A 54-year-old male with history of anemia and rheumatoid arthritis presented with a three-month history of dyspnea on exertion and lower extremity edema. Patient was referred for a transthoracic echocardiogram that revealed a large right atrial mass with reduced ejection fraction of 40% and an incidental large liver mass. Subsequent cardiac MRI revealed a lobulated right atrial mass measuring 5.4 cm×5.3 cm with inferior vena cava compression and adjacent multiple large liver lesions confirmed to be malignant melanoma through biopsy. Interestingly, no primaries were found in the patient. PET/CT imaging displayed hypermetabolic masses within the right atrium and liver that likely represent metastases, as well as bilateral pleural effusions, most likely due to heart failure. Preoperative coronary angiogram demonstrated perfusion to the mass by a dense network of neovasculature arising from the mid right coronary artery. The cardiac melanoma was surgically removed, and the right atrium was reconstructed with a pericardial patch. After surgery, all cardiac chambers appeared normal in size and function with associated moderate tricuspid regurgitation. The patient is currently being administered ipilimumab for systemic therapy of metastatic melanoma.

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

Granulocytic sarcoma presenting as a right atrial mass

2003 ◽  
Vol 58 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Cevdet ERDÖL ◽  
Ercüment OVALI ◽  
Merih BAYKAN
Keyword(s):  
Granulocytic Sarcoma ◽  
Right Atrial ◽  
Atrial Mass ◽  
Right Atrial Mass
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