left atrial myxoma
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2021 ◽  
Vol 2 (3) ◽  
pp. 182-184
Author(s):  
Oktay Şenöz ◽  
Ferhat Yurdam ◽  
Fatma Nur Tomakin ◽  
Zeynep Yapan Emren ◽  
Volkan Emren

Author(s):  
Mijo Meter ◽  
Diana Meter ◽  
Toni Ceprnja ◽  
Dijana Perkovic

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.


2021 ◽  
Vol 73 ◽  
pp. S24-S25
Author(s):  
S.K. Mastan ◽  
K. Siddharth ◽  
Kola Srinivas Rao ◽  
P. Sampath Kumar

2021 ◽  
Vol 12 (12) ◽  
pp. 511-515
Author(s):  
Anton Mararenko ◽  
Ndausung Udongwo ◽  
Dhaval Desai ◽  
Matthew S. Schoenfeld

Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Mustafa Alam ◽  
Tavleen Singh ◽  
Anandbir Bath ◽  
Shadwan Alsafwah

Case Presentation: A 24-year-old man with a history of adrenal insufficiency on hydrocortisone presented to the hospital after losing consciousness in a swimming pool and was found to have an acute MCA stroke. PMHx was significant for left atrial myxoma status post resection 3 years ago, known L frontal brain, L adrenal, and testicular masses status post-resection. His father had a history of resected left atrial mass. Cardiology was consulted for a L atrial mass on the bedside echocardiogram upon initial emergency evaluation, during which the patient was placed on mechanical ventilation with stable vitals. The cardiovascular exam revealed a midsternal scar but was otherwise normal. Pulses were 2+ bilaterally on the upper and lower extremities. The skin was noted to have multiple hyperpigmented macules resembling cafe-au lait spots. The patient underwent mechanical thrombectomy with thrombolysis for his large MCA occlusion. His postoperative course was complicated by a worsening neuro exam in the setting of mid-line shift for which he had undergone decompressive hemicraniectomy. His adrenal insufficiency was managed by endocrinology. A TTE was significant for a L atrial mass measuring 4.8 cm attached to the interatrial septum with a stalk. A CT scan identified 2 discrete hypodensities of 8 mm and 3.8 cm which were thought to be the cardioembolic source for the stroke. An abdominal CT revealed a recurrent L adrenal neoplasm with absent R adrenal gland post resection of neoplasm. Conservative cardiac management was elected in the setting of a worsening neuroprognosis with follow-up post neurologic insult. Discussion: Considering the constellation of neoplastic and cutaneous findings, this was diagnosed as a case of Carney complex. This case identifies recurrent myxoma as a unique feature of Carney complex, ruling out other differentials such as neurofibromatosis and MEN syndrome. It highlights the importance of screening to prevent embolic stroke from recurrent myxomas.


Medicine ◽  
2021 ◽  
Vol 100 (45) ◽  
pp. e27819
Author(s):  
Feng Zhao ◽  
Tongyun Chen ◽  
Yipeng Tang ◽  
Qingliang Chen ◽  
Nan Jiang ◽  
...  

2021 ◽  
Vol 23 (Supplement_F) ◽  
Author(s):  
E D Hargiyanto ◽  
B Baktijasa

Abstract Background Valvular heart disease has a high prevalence, especially in developing countries, even though there is actually no exact number for prevalence in Indonesia. The prevalence of left atrial thrombus is around 17% in patients with severe mitral stenosis and will increase about 2 times in patients with atrial fibrillation. Although left atrial thrombus is common in mitral stenosis, left atrial thrombus mimicking myxoma is rarely reported Case Summary 47-year-old woman came to Dr. Soetomo cardiology outpatient clinic. She complained of palpitation and shortness of breath. Her electrocardiogram was showed atrial fibrillation. Echocardiography showed severe mitral stenosis and free moving, round shape, left atrial mass. She then immediately planned for Mitral Valve Replacement (MVR) surgery and evacuation of the mass. We found a solid wall spherical mass, layered and easily separate. Microscopic examination revealed extensive fibrin, hemorrhage and mononuclear inflammatory cells with the conclusion of a thrombus Discussion Left atrial thrombus and myxoma often look the same on echocardiography, especially when the thrombus is free-moving and round shape. Echocardiography in this case showed a free-moving mass, round shape, like a "ping-pong" ball. The mass also has solid wall suggesting a myxoma. After surgery, we found tha the mass is multilayered which looks like a myxoma. However, microscopically confirmed that the mass is a thrombus. This suggests that a left atrial thrombus may mimicking a myxoma on echocardiography. Therefore, the gold standard for diagnosing intracardiac mass is by histopathology


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