scholarly journals Ockham's razor or Hickam's dictum: a right atrial mass following excision of left atrial myxoma

2008 ◽  
Vol 9 (3) ◽  
pp. 415-416 ◽  
Author(s):  
Yigal Abramowitz ◽  
Gidon Perlman ◽  
Eli Levy ◽  
Ronen Beeri ◽  
Tova Chajek-Shaul ◽  
...  
Keyword(s):  
Left Atrial ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Ockham’S Razor ◽  
Left Atrial Myxoma ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
Ockham's Razor

scholarly journals Atrial thrombus masquerading as atrial myxoma: Preliminary analysis of echocardiographic findings

2021 ◽  
Author(s):  
fang song ◽  
guobing hu
Keyword(s):  
Left Atrial ◽  
Preliminary Analysis ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Significant Information ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
Echocardiographic Findings

We retrospectively analyzed the echocardiographic findings of 8 patients with atrial thrombus (AT). This study was conducted in Yijishan Hospital between January 2019 and September 2021. Of the 8 patients, right atrial mass was detected in 4 patients, and left atrial mass was detected in the rest 4 patients. All masses were initially diagnosed as myxoma, which were later confirmed as thrombus. Athough echocardiography can provide significant information about the nature of atrial mass in many patients, a small percentage of atrial masses remain difficult to make a qualitative diagnosis.

Intracardiac ectopic liver mimicking atrial myxoma — An unusual cause for a right atrial mass

2016 ◽  
Vol 209 ◽  
pp. 210-212 ◽  
Author(s):  
William E. Moody ◽  
Stefan G. Hübscher ◽  
Stephen J. Rooney ◽  
Sagar N. Doshi
Keyword(s):  
Atrial Myxoma ◽  
Right Atrial ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
Ectopic Liver

scholarly journals Patient in chronic hemodialysis with right atrial mass: thrombus, fungal endocarditis or atrial myxoma?

2016 ◽  
Vol 38 (4) ◽  
Author(s):  
Talita G. Salani ◽  
Cynthia de Moura Borges ◽  
Carolina S. Urbini ◽  
Patrícia Schincariol ◽  
Kélcia Rosana da Silva Quadros ◽  
...  
Keyword(s):  
Chronic Hemodialysis ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Atrial Mass ◽  
Fungal Endocarditis ◽  
Right Atrial Mass

Management of Cardiac Myxomas

1997 ◽  
Vol 5 (3) ◽  
pp. 158-161
Author(s):  
Lim Yeong Phang ◽  
Tan Yong Seng
Keyword(s):  
Coronary Artery ◽  
Left Atrial ◽  
Artery Bypass ◽  
Cardiac Myxoma ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Primary Tumors ◽  
Left Atrial Myxoma ◽  
Singapore General Hospital ◽  
Cardiac Myxomas

Cardiac myxomas are benign primary tumors of the heart that require prompt surgical intervention because of the possibility of developing syncope and hemodynamic or embolic complications. From 1 January 1981 to 31 December 1996, 20 patients (11 male and 9 female) underwent surgery for cardiac myxoma at Singapore General Hospital. Nineteen patients had a left atrial myxoma and 1 had a right atrial myxoma. Five patients had concomitant coronary artery disease including one with severe mitral regurgitation. Nine patients presented with progressive dyspnea, 5 with systemic embolus, 2 with syncope, 3 with congestive cardiac failure, and 1 with right ventricular failure. In 6 patients the diagnosis was established by cardiac catheterization and 14 patients were diagnosed by two-dimensional echocardiography. Cardiopulmonary bypass with mild to moderate systemic hypothermia was used for excision of the myxoma in all cases. Five patients had concomitant coronary artery bypass grafting and 2 had concomitant mitral valve replacement. There was no hospital mortality among patients who had only excision of the myxoma, including a patient who had a recurrence of her left atrial myxoma 5 years after the initial excision. There were 2 deaths in patients with coexisting cardiac and other diseases. Surgical excision is recommended for all cases of cardiac myxoma. There is little risk associated with this procedure. All patients should be followed up regularly with echocardiographic assessment as there is a small risk of recurrence.

scholarly journals 1111 Atrial thrombi or cardiac tumors? The challenge of multimodality imaging of intracardiac masses

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Castrichini ◽  
S Albani ◽  
B Pinamonti ◽  
R Bussani ◽  
M Belgrano ◽  
...  
Keyword(s):  
Contrast Enhancement ◽  
Cardiac Tumor ◽  
Left Atrial ◽  
Anterior Wall ◽  
Right Atrial ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
The Right ◽  
The Masses ◽  
Atrial Thrombi

Abstract A 83-year-old man with hypertensive cardiomyopathy with left ventricular dysfunction diagnosed 5 years before (without coronary artery disease) in permanent atrial fibrillation since 8 years, was admitted to the ER for heart failure. He was not in anticoagulation therapy because contraindication for the presence of cerebral venous angiomas found several years before. An urgent ultrasound scan was performed that showed bilateral intra-atrial masses. UFH was started. The echocardiography(Fig. 1 panel A)show within the left atrium an isoechoic, not pedunculated mass, 8x5 cm, with lobulated margins, attached to the anterior wall and left atrial appendage, and expanding in the atrial cavity. Within the right atrium a smaller mass with the same characteristics was attached to the anterior wall, 4 x 3 cm (Fig. 1 panel B). TEE confirmed these characteristics and showed also vacuolated aspects inside the masses (Fig. 1 panel C). MDCT was then performed, the atrial masses appeared morphologically very similar to atrial myxomas, but they didn’t enhance iodine contrast agent resembling a typical thrombus behavior (Fig. 1 Panel D). No systemic emboli nor extracardiac tumors were found. CMR could not be performed due to patient claustrophobia. Considering intra-atrial thrombi as a main hypothesis, the treatment with UFH was continued and the masses were monitored by TTE. However, after more than one week the masses volume did not change. A contrast echocardiography with IV Sonovue was performed. A mild contrast enhancement of left atrial mass was seen, thus suggesting the diagnostic hypothesis of cardiac tumor (Fig. 1 Panel E). In this context we decided to perform transvenous biopsy of right atrial mass under intracardiac echocardiography guidance. The biopsy samples from the outer wall of the right atrial mass showed thrombotic features. After a long discussion in heart team, patient underwent to surgical resection of the masses through atrial approach and the surgical inspection was suggestive of neoplastic origin. The histological examination was performed showing thrombotic material with several phases of organization and mild aspects of neo-angiogenesis combined with mild lymphocyte infiltration and necrosis areas (Fig. 1 Panel F). We hypothesized that the histological features of the lesion, with the presence of vessel within the mass could explain the mild late contrast enhancement at Sonovue echocardiography simulating the features of cardiac tumor. In summary, in this case, despite a multimodal imaging approach, the nature of the bilateral intra-atrial masses could not be defined and the histological examination after surgical removal had a key diagnostic role showing organized thrombotic material. A proper differential diagnosis is extremely important in order to decide the appropriate treatment, but sometimes it is extremely challenging. Abstract 1111 Figure 1

scholarly journals Cardiac myxoma: The influence of surgical technique on long-term prognosis

2012 ◽  
Vol 64 (1) ◽  
pp. 1-6
Author(s):  
A. Mikic ◽  
P. Djukic ◽  
Biljana Obrenovic-Kircanski ◽  
Z. Gluvic ◽  
S. Putnik ◽  
...  
Keyword(s):  
Left Atrial ◽  
Cardiac Myxoma ◽  
Surgical Techniques ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Functional Improvement ◽  
Aortic Cross Clamp Time ◽  
Left Atrial Myxoma ◽  
Right Atrial Myxoma ◽  
Long Term Prognosis

The aim of our study was to analyze the influence of different surgical techniques (left atriotomy, right atriotomy, biatrial approach and tumor basis solving) on early and late outcomes of patients operated on for cardiac myxoma. We evaluated 74 patients operated on for cardiac myxoma from 1982 through 2011. Sixty-six patients (89.19%) had left atrial myxoma and 8 (10.81%) right atrial myxoma. Histopathologic examination confirmed the diagnosis of atrial myxoma in all patients. In analyzing different surgical techniques we found that they had no influence on the duration of extracorporeal circulation and aortic cross-clamp time. Mortality analysis revealed: no intraoperative mortality; early mortality in 2 patients; late mortality in 12 patients. Survival after 29 years was 81.08%. There were no myxoma recurrences. 83.78% of the patients had functional improvement. In our opinion the best approach for right atrial myxoma is through right atriotomy, for left atrial myxoma through left atriotomy, with a biatrial approach for large tumors of the left atrium or when exploration of all 4 chambers is necessary. Subendocardial excision or thermocauterization was used for small tumors with bases less than 5 mm. Myxoma with a wider basis, depending on the localization, were partially resected at the atrial septum in the whole thickness or subendocardial excision of the tumor basis.

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