scholarly journals Left Atrial Myxoma A Clinical Case

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.

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

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
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.

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

Pulse ◽  
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

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 Giant Left Atrial Myxoma: Cause for Position-Dependent Nocturnal Dyspnea and Cardiac Murmur

2017 ◽  
Vol 06 (01) ◽  
pp. e1-e2 ◽  
Author(s):  
Julia Hillebrand ◽  
Sven Martens ◽  
Andreas Hoffmeier
Keyword(s):  
Left Atrial ◽  
Clinical Symptoms ◽  
Operative Therapy ◽  
Atrial Myxoma ◽  
Cardiac Murmur ◽  
Primary Tumors ◽  
Clinical Appearance ◽  
Left Atrial Myxoma ◽  
Life Threatening ◽  
Variable Clinical Presentation

AbstractPrimary tumors of the heart are rare. The majority of them are benign, the left atrial myxoma being the most frequent one. Clinical appearance varies from unapparent to life-threatening complications such as stroke, acute heart failure, or even sudden death. Diagnosis and consecutive surgical treatment strongly depend on the clinical symptoms, but their extent does not correlate with the risk for serious complications. Therefore, patients with variable clinical presentation can be especially endangered. Consequent diagnostic and immediate operative therapy is essential.

scholarly journals Left atrial myxoma and transient ischemic attacks: case report

2021 ◽  
Author(s):  
Leonardo Daniel Reis Santos ◽  
Omar Pereira de Almeida Neto ◽  
Michelle Franco Macedo de Lima ◽  
Nathália Varano
Keyword(s):  
Case Report ◽  
Left Atrial ◽  
Vascular System ◽  
Atrial Myxoma ◽  
Cardiac Tumors ◽  
Transient Ischemic Attacks ◽  
Adequate Treatment ◽  
Left Atrial Myxoma ◽  
History Of ◽  
Cerebral Vascular

Context: Cardiac tumors are rare and myxomas are the most prevalent between them. Although histologically benign, they may cause severe effects given their intracardiac location. Unspecific symptoms compromise the diagnosis, leading to complications such as changes in the cerebral vascular dynamics. Case report following the CARE guidelines. Case report: A 62-year-old woman was admitted to a high complexity hospital in Minas Gerais, with history of unstable angina, aphasia, right hemiparesis, dysarthria, claiming precordialgia with strong intensity. Complained hyporexia and weight loss during the last month. Medical history of 7 transient ischemic attacks (TIA) in the last two years. Physical examination with no abnormalities. Chest x-ray and transesophageal echocardiogram showed bilateral neovascularization and 4.9 x 2.9 cm dimension mass in the left atrium. Coronary angiography revealed proximal calcification and atherosclerotic plaque occluding 40% of the flux in the middle third of the anterior descending artery, pointing to the coexistence of coronary disease and left atrial myxoma. The occurrence of a TIA was determined and the prescription of an anticoagulant to avoid future embolic events. A surgical approach was necessary. Biopsy concluded myxoid and hyaline-rich stroma tumor, evident vascular system, star-shaped cells isolated or forming small groups, confirming myxoma diagnosis. After a ten-day hospitalization, the patient was clinically stable, and was discharged after health education. Conclusion: Cardiac tumors such as myxomas lead to important cerebral vascular consequences, so that the clinical investigation is essential to the differential diagnosis between a stroke and the TIA, to provide adequate treatment and disease prevention.

scholarly journals Emergency Surgery for Acute Mitral Valve Obstruction Resulting From Rapidly enlarging Left Atrial Myxoma

2016 ◽  
Vol 8 (2) ◽  
pp. 155-157
Author(s):  
M Badrul Alam ◽  
SA Quader ◽  
AM Asif Rahim ◽  
M Sajedul Bari ◽  
ZH Khan ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Left Atrial ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Atrial Myxoma ◽  
Rapid Expansion ◽  
Surgical Removal ◽  
Cardiac Tumors ◽  
Left Atrial Myxoma ◽  
Gradual Onset

Left atrial myxomas are benign, slow-growing primary cardiac tumors. They present with gradual onset of one or more of a triad of obstructive, embolic, or constitutional symptoms. Echocardiography aids in the detailed preoperative and intraoperative evaluation of the myxoma for surgical strategy planning. We describe a case of interstitial hemorrhage in a left atrial myxoma leading to rapid expansion of the tumor with features of acute, mitral valve obstruction. Echocardiography showed a cystic area in the left atrial tumor that corresponded to an area of recent hemorrhage confirmed on surgical removal. A 42 yrs old housewife presented with severe dyspnoea, cough and chest pain for 7 days, after detail evaluation she was diagnosed as a case of left atrial myxoma with heart failure. Subsequently she underwent emergency open heart surgery under cardiopulmonary bypass; removal of a huge LA myxoma was done, and recovered uneventfully.Cardiovasc. j. 2016; 8(2): 155-157

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 STEMI and NSTEMI ACS in a 30-Year-Old Patient: An Extremely Rare Complication of a Left Atrial Myxoma

2017 ◽  
Vol 20 (3) ◽  
pp. 116 ◽  
Author(s):  
Francesco Bartolomucci ◽  
Antonio Tito ◽  
Eliano Pio Navarese ◽  
Fortunato Iacovelli ◽  
Marco Mele ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Left Atrial ◽  
Therapeutic Option ◽  
Rare Complication ◽  
Early Recurrence ◽  
Atrial Myxoma ◽  
Cardiac Tumors ◽  
Total Occlusion ◽  
Left Atrial Myxoma ◽  
Effective Therapeutic Option

Primary cardiac tumors are a rare entity whose incidence in the general population ranges from 0.0017% to 0.28%. Myxomas represent nearly half of all primary benign cardiac tumors and they prevalently affect female patients. Embolic manifestation is rare with a reported incidence of 0.06%.We present the case of a 30-year-old male patient with acute anterolateral infarction caused by total occlusion of the left anterior descending artery as a consequence of a left atrial myxoma embolization. Urgent surgical resection of the mass didn’t avoid early recurrence of atrial myxoma, whose second presentation was again myocardial infarction.This case alerts physicians to “unusual” myocardial infarction patients, when atherosclerotic pathogenesis appears unlikely. In these cases early echocardiographic evaluation should be mandatory and atrial myxoma should be considered among the possible causes. Complete surgical resection is the only effective therapeutic option to improve prognosis; the chance of tumor recurrence should dictate careful research for additional myxomas during surgery and stricter follow-up planning. 

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

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.

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.

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