A SHORT RECURRENCE TIME OF LEFT ATRIAL MYXOMA: CASE REPORT AND LITERATURE REVIEW

Background: Recurrence of sporadic cardiac myxoma remains unusual but the seriousness of the situation justifies the realization of a surgical resection as complete as possible with post-operative clinical and echocargdiographic monitoring. Case presentation: We recall the case of myxoma of the left atriumin a 64-year-old women complicated by functional mitral stenosis and heart failure. She underwent urgent heart surgery, during which a friable tumor attached by a sessile base to the anterior atrial septum was removed. The postoperative effects were complicated by a pulmonary embolism. Eight months later, the patient consulted for exertional dyspnea with an echocardiographic image in favor of a recurrence of myxoma of the left atrium. Conclusion: Several mechanisms have been proposed to explain such recurrence, the most avoidable remain incomplete surgical resection and Implantation of embolic fragments of the original tumor in the myocardium due to a previous surgery.

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A case report of left atrial myxoma presenting with amnesia

BMC Cardiovascular Disorders ◽

10.1186/s12872-021-02036-z ◽

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.

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P853 Bilateral lower limb ischemia in a healthy young man what if the heart was hiding the etiology

European Heart Journal - Cardiovascular Imaging ◽

10.1093/ehjci/jez319.501 ◽

2020 ◽

Vol 21 (Supplement_1) ◽

Author(s):

M Mouadili ◽

A Tamdy ◽

B El Fatmi ◽

S Elkarimi

Keyword(s):

Popliteal Artery ◽

Lower Limb ◽

Cardiac Myxoma ◽

Clinical Manifestations ◽

Limb Ischemia ◽

Atrial Myxoma ◽

Surgical Removal ◽

Left Atrial Myxoma ◽

Tibial Arteries ◽

The Right

Abstract Cardiac myxoma is the most common benign cardiac tumor with diverse nonspecific clinical manifestations; moreover, atrial myxoma embolization to the peripheral vessels is rare. A 24-year-old man presented tothe emergency departement complaining ofpain and coldness of his two lower extremities. The right femoral pulse was normally felt while the pulses of the left lower limb from the femoral down to the posterior and anterior tibial arteries were not felt. Bilateral thrombectomy was performed on emergency basisand a fatty-like mass from the left femoral artery was removed. The histological examination of this mass was suggestive of myxoma.So, transthoracic echocardiography was done and confirmed the diagnosis of myxoma that was seen in the left atrium and measuring about 10X6 cm in its maximal dimensions. Surgical removal of the myxoma was done later and the patient recovered uneventfully. Conclusion Although myxomas are rare, they should be considered in the differential diagnosis of peripheral embolic disease, especially when an embolic event occurs in a young adult without evidence of endocarditis or arrhythmia. Echocardiography is the modality of choice for diagnosis and follow-up of this type of tumors. FIGURE 1: CTA (computed tomography angiography) showing Occlusion of the left popliteal artery and occlusion of the distal part of the right popliteal artery FIGURE 2: macroscopic view of gelatinous left atrial myxoma

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A Rare Cause of Pediatric Stroke

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135116659646 ◽

2016 ◽

Vol 8 (2) ◽

pp. 220-223 ◽

Cited By ~ 3

Author(s):

Ignacio Juaneda ◽

Alejandro Peirone ◽

Alejandro Contreras ◽

Juan Díaz ◽

Federico Roca

Keyword(s):

Ischemic Stroke ◽

Surgical Resection ◽

Vascular Malformation ◽

Left Atrial ◽

Pediatric Population ◽

Cardiac Myxoma ◽

Sudden Onset ◽

Uneventful Recovery ◽

Left Atrial Myxoma ◽

Initial Event

We describe a case of sudden-onset left-sided hemiparesis and dysarthria in a five-year-old boy. Acute vascular malformation bleeding or ischemic stroke was suspected. Neurological examination three weeks after the initial event revealed mild residual facial paresis. Brain angiography ruled out a vascular malformation. A work-up echocardiogram revealed a 4-cm left atrial mass compatible with cardiac myxoma. Urgent surgical resection of the mass under cardiopulmonary bypass confirmed the diagnosis. Uneventful recovery followed surgical resection. In this report, we present a partially embolized left atrial myxoma that caused an acute ischemic stroke, which is rarely considered and encountered in the pediatric population.

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Left Atrial Myxoma and Antiphospholipid Syndrome—A Case Report

International Journal of Angiology ◽

10.1055/s-0041-1740103 ◽

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.

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Multiple cerebral metastases and metastatic aneurysms in patients with left atrial Myxoma: a case report

BMC Neurology ◽

10.1186/s12883-019-1474-4 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Yan Wan ◽

Hai Du ◽

Lei Zhang ◽

Shuang Guo ◽

Li Xu ◽

...

Keyword(s):

Central Nervous System ◽

Nervous System ◽

Brain Metastases ◽

Cardiac Myxoma ◽

Cerebral Aneurysms ◽

Surgical Excision ◽

Atrial Myxoma ◽

Surgical Removal ◽

Left Atrial Myxoma ◽

Complete Surgical Excision

Abstract Background Cardiac myxoma is the most common benign cardiac tumor. Brain metastases or multiple cerebral aneurysms are extremely rare, especially for the case of both complications. Brain metastases are usually found at the same time or few months after the diagnosis or surgical removal of cardiac myxoma Case presentation We describe a case of patient, operated for a cardiac myxoma, who presented multiple central nervous system metastases associated, cerebral aneurysms and subsequent intracerebral hemorrhage Conclusions The long-term follow-up of the patients with atrial myxoma even after complete surgical excision is recommended, especially for the patient with central nervous system manifestations before atrial myxoma excision

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Multiple Cerebral Aneurysms Caused by Cardiac Myxoma

Interventional Neuroradiology ◽

10.1177/159101990701300209 ◽

2007 ◽

Vol 13 (2) ◽

pp. 179-184 ◽

Cited By ~ 24

Author(s):

J. Sedat ◽

Y. Chau ◽

A. Dunac ◽

N. Gomez ◽

L. Suissa ◽

...

Keyword(s):

Left Atrial ◽

Cardiac Myxoma ◽

Cerebral Aneurysms ◽

Atrial Myxoma ◽

Left Atrial Myxoma

A case of multiple cerebral aneurysms caused by left atrial myxoma is reported. We present the details of this case and discuss the hypothetical pathogenesis, radiological aspects and treatment of these neoplastic aneurysms.

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Complicated Sporadic Cardiac Myxomas: A Second Recurrence and Myxomatous Cerebral Aneurysms in One Patient

Case Reports in Surgery ◽

10.1155/2013/642394 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3

Author(s):

Mazen E. Iskandar ◽

Kamellia Dimitrova ◽

Charles M. Geller ◽

Darryl M. Hoffman ◽

Robert F. Tranbaugh

Keyword(s):

De Novo ◽

Cardiac Myxoma ◽

Cerebral Aneurysms ◽

Atrial Myxoma ◽

Right Atrial ◽

Cerebral Angiogram ◽

Left Atrial Myxoma ◽

Right Atrial Myxoma ◽

Cardiac Myxomas ◽

Matrix Patches

A second recurrence of an excised nonfamilial cardiac myxoma is rare. Myxomatous cerebral aneurysms as a complication of cardiac myxomas are equally rare. A unique case of a patient with a total of 4 myxomas over a 20-year interval is presented. Her most recent presentation was a second recurrence of a left atrial myxoma, a de novo right atrial myxoma, and multiple cerebral myxomatous aneurysms. The challenging reconstruction of the normal anatomy was achieved with the use of porcine extracellular matrix patches. A diagnostic cerebral angiogram was later performed, and the aneurysms will be monitored for growth and possible intervention.

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Stroke from A Large Left Atrial Myxoma

The Open Cardiovascular Medicine Journal ◽

10.2174/1874192400802010115 ◽

2008 ◽

Vol 2 (1) ◽

pp. 115-117 ◽

Cited By ~ 10

Author(s):

Hitoshi Hirose ◽

Benjamin A Youdelman ◽

John W. C Entwistle

Keyword(s):

Left Atrial ◽

Heart Surgery ◽

Open Heart Surgery ◽

Atrial Myxoma ◽

Severe Mitral Regurgitation ◽

Open Heart ◽

Neurologic Complications ◽

Left Atrial Myxoma ◽

Intraoperative Transesophageal Echocardiography ◽

Car Accident

A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma. Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass. After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

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Simultaneously Performed, Totally Endoscopic Left Atrial Myxoma Resection and Lobectomy

The Heart Surgery Forum ◽

10.1532/hsf.2839 ◽

2020 ◽

Vol 23 (3) ◽

pp. E292-E294

Author(s):

Jin Shi ◽

Yong Wang ◽

Qiuyun Wang ◽

Xiaohan Bing ◽

Zengshan Ma

Keyword(s):

Cardiopulmonary Bypass ◽

Cardiac Tumor ◽

Left Atrial ◽

Cardiac Myxoma ◽

Atrial Myxoma ◽

Robotic Assistance ◽

Left Atrial Myxoma ◽

Simultaneous Surgery ◽

The Right ◽

Preoperative Examination

The patient was a 69-year-old male patient with cancer in the right lung and whose preoperative examination showed left atrial myxoma. Simultaneous surgery for both cardiac myxoma resection and a lobectomy by totally endoscopic surgery without robotic assistance was performed. First, the cardiac tumor on the heart was removed using a cardiopulmonary bypass (CPB), then a lobectomy without any new incisions was performed. This case provides evidence that in individual select patients, a left atrial myxoma resection and lobectomy can be performed under total endoscopy at the same time.

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