An unusual cause of heart failure in a young female: a case of massive left atrial mxyoma.
atrial myxoma
cardiac tumors
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
24
07
2020
accepted:
10
08
2020
pubmed:
26
8
2020
medline:
7
4
2021
entrez:
26
8
2020
Statut:
ppublish
Résumé
Benign cardiac tumors are rare; they can present with nonspecific symptoms and represent a diagnostic challenge to the clinician. We describe an interesting case of a 26-year-old female who presented with a 6-month history of cough, breathlessness, palpitations, dizziness, and fever. Despite repeated clinical reviews in the community, diagnosis of cardiac tumor was not made until she developed decompensated cardiac failure with bilateral pleural effusions and pulmonary edema. Echocardiogram revealed an enormous left atrial mass that extended one-third into left ventricle during systole. The patient underwent successful surgical resection with histological confirmation of a benign atrial myxoma.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
3227-3230Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
El Sabbagh A, Al-Hijji MA, Thaden JJ, et al. Cardiac myxoma: the great mimicker. JACC Cardiovasc Imaging. 2017;10:203-206.
Maleszewski JJ, Bois MC, Bois JP, Young PM, Stulak JM, Klarich KW. Neoplasia and the heart: pathological review of effects with clinical and radiological correlation. J Am College Cardiol. 2018;72:202-27.
Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine. 2001;80:159-172.
Bruce CJ. Cardiac tumours: diagnosis and management. Heart. 2011;97:151-160.
Gošev I, Paić F, Durić Z, et al. Cardiac myxoma the great imitators: comprehensive histopathological and molecular approach. Int J Cardiol. 2013;164:7-20.
Yokomuro H, Yoshihara K, Watanabe Y, Shiono N, Koyama N, Takanashi Y. The variations in the immunologic features and interleukin-6 levels for the surgical treatment of cardiac myxomas. Surgery Today. 2007;37:750-753.
Panidis IP, Mintz GS, McAllister M. Hemodynamic consequences of left atrial myxomas as assessed by Doppler ultrasound. Am Heart J. 1986;111:927-931.
Agstam S, Kumar B, Dahiya N, Guleria VS. Giant right atrial myxoma presenting as right heart failure: a rare manifestation. BMJ Case Reports. 2020;13:13.
Alamri Y, Lau YY, Lainchbury J. Large right atrial myxoma presenting with heart failure. ANZ J Surg. 2019;89:1341-1342.
Anandan PK, Bengaluru Hanumanthappa N, Bhat P, Manjunath CN, Chandrasekaran D. Ping-pong mitral stenosis: left atrial myxoma with mitral stenosis and pulmonary hypertension in an octogenarian. Cardiology Research. 2015;6:286-288.
Spartalis M, Tzatzaki E, Spartalis E, et al. Atrial myxoma mimicking mitral stenosis. Cardiology Research. 2017;8:128-130.
Micelli C, Diarsvitri W, Pia DM, Luhur H. Embolic stroke, left atrial myxoma and gigantism in a patient with Carney complex with additional features suggestive of Marfan syndrome. BMJ Case Reports. 2018;bcr2018225093:1-5.
Oliveira R, Branco L, Galrinho A, et al. Cardiac myxoma: a 13-year experience in echocardiographic diagnosis. Revista Portuguesa Cardiol. 2010;29:1087-1100.
Theodoropoulos KC, Masoero G, Pagnano G, Walker N, Papachristidis A, Monaghan MJ. Mitral pseudostenosis due to a large left atrial myxoma. J Geriatric Cardiol. 2018;15:244-245.
Rahmanian PB, Castillo JG, Sanz J, Adams DH, Filsoufi F. Cardiac myxoma: preoperative diagnosis using a multimodal imaging approach and surgical outcome in a large contemporary series. Interact Cardiovasc Thor Surg. 2007;6:479-483.
Ren DY, Fuller ND, Gilbert SAB, Zhang Y. Cardiac tumors: clinical perspective and therapeutic considerations. Current Drug Targets. 2017;18:1805-1809.
Jain S, Maleszewski JJ, Stephenson CR, Klarich KW. Current diagnosis and management of cardiac myxomas. Expert Rev Cardiovasc Ther. 2015;13:369-375.