A primary benign cardiac tumor misdiagnosed as cardiac metastasis in the right atrium

2020 ◽  
Vol 37 (10) ◽  
pp. 1678-1681
Author(s):  
YiLu Shi ◽  
ShaSha Duan ◽  
Lei Zhang ◽  
Xia Bai ◽  
Chao Ban ◽  
...  
Keyword(s):  
Right Atrium ◽  
Cardiac Tumor ◽  
Cardiac Metastasis ◽  
Benign Cardiac Tumor ◽  
The Right

scholarly journals Hepatocellular Carcinoma with Vascular Invasion and Cardiac Metastasis Causing Progressive Liver and Renal Failure: A Case Report and Literature Review

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Right Atrium ◽  
Inferior Vena ◽  
Vena Cava ◽  
Cardiovascular Complications ◽  
Cardiac Metastasis ◽  
Medical Treatments ◽  
Common Cancer ◽  
The Right ◽  
The Brain

Hepatocellular carcinoma (HCC) is the most common primary tumor of the liver and eighth-most common cancer. The most frequent sites of metastasis are the lungs, the bones, the lymphatics, and the brain. An isolated metastasis of a HCC to the right atrium and inferior vena cava (IVC) is extremely rare. Here we discuss a case of a 61-year-old female who presented with two weeks of generalized weakness and was found to have advanced stage HCC with metastasis to the IVC and right atrium of her heart. We recommend that echocardiography should be routinely performed for all patients with advanced HCC because if metastasis to the right atrium is not detected early enough, the clinical course will be complicated by many unexpected cardiovascular complications that can be fatal. Currently the prognosis for this disease is very poor so further investigation into surgical and medical treatments needs to occur.

scholarly journals Papillary Fibroelastoma of the Right Ventricular Free Wall

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Tetsuya Niino ◽  
Satoshi Unosawa
Keyword(s):  
Cardiac Tumor ◽  
Main Pulmonary Artery ◽  
Tumor Resection ◽  
Papillary Fibroelastoma ◽  
Free Wall ◽  
Right Ventricular Free Wall ◽  
Postoperative Course ◽  
Resected Tumor ◽  
Benign Cardiac Tumor ◽  
The Right

Papillary fibroelastoma is a rare benign cardiac tumor that usually arises from the valvular endocardium and its development in the cardiac chambers is extremely rare. A 52-year-old woman complained of palpitations and echocardiography revealed a cardiac tumor. Resection was performed via the right ventricle and main pulmonary artery under cardiopulmonary bypass. Histological examination of the resected tumor showed that it was a papillary fibroelastoma. The patient’s postoperative course was unremarkable and no complications have been detected on followup.

scholarly journals P1342 Secondary cardiac tumour -a metastasis from renal cell carcinoma via transvenous extension

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
T Iqbal Penwala ◽  
A R Sanusi ◽  
S A Yahaya ◽  
P E E Samonte ◽  
L K Tan
Keyword(s):  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Vein ◽  
Inferior Vena ◽  
Vena Cava ◽  
Cardiac Metastasis ◽  
Tumour Mass ◽  
Lower Pole ◽  
Cardiac Tumour ◽  
The Right

Abstract Secondary cardiac tumour is 20-40 times more common than primary cardiac tumour. Most common tumour that metastasize to the heart are lung cancer, breast cancer and hematologic malignancy. Melanoma and pleural mesothelioma has high inclination to metastasize. Other cancer with high rate of cardiac metastasis include gastric, ovarian, renal and pancreatic cancer. The presentation of cardiac metastasis is usually non-specific and sometimes mimic other cardiac condition. We would like to present one such case where we used multimodality approach for proper evaluation. A 57 year old lady presented with intermittent chest discomfort for one month which worsen on day of admission. Otherwise she had good effort tolerance. Electrocardiogram had no acute ischemic changes and Troponin T was not elevated. Bedside echocardiography revealed a large cardiac mass in right atrium around 66mm x 29mm, protruding to right ventricle. Apart from that noted aneurysm of interatrial septum towards LA. MRI cardiac showed an inhomogenous mass extending from the right renal vein and inferior vena cava(IVC) into the right atrium(RA). The tumour mass in the right atrium a highly mobile and flops across the tricuspid valve into the right ventricle during ventricular diastole causing right ventricular outflow tract obstruction. The mass was hyperintense on T2- and isointense on T1-weighted images. There was vascularity within the mass with inhomogenous gadolinium enhancement. There was also 2 masses in right kidney , a larger inhomogenous encapsulated mass at the right lower pole and smaller at lower pole. The findings were suggestive of a primary renal cell carcinoma with tumour mass extension into right renal vein, inferior vena cava and into the right atrium. A staging CT scan thorax , abdomen and pelvis did not show any other possible primary source of cancer and reconfirm the extracardiac finding of the MRI. No evidence of tumour extension into hepatic veins and left renal vein. There was however small nodular opacities in both right and left lung suggesting lung metastasis. A combined operation was done with our cardiothoracic surgeon and urologist from nearby tertiery hospital. Nephrectomy and removal of tumour thrombus from IVC and RA was done with 18 degree Celcius circulatory arrest with cardiopulmonary bypass. Section of renal mass showed a poorly circumscribed lobulated tumour with areas of hemorrhage and necrosis. The tumour was close to capsule but has not breached it. The tumour was mainly clear cell carcinoma variant, nuclear grade III. Section from IVC that extend to RA appeared elongated sausage-like measuring 150mm in length and 30mm in diameter had tumour embolus. Pulmonary artery and perirenal blood vessel also had tumour emboli. The hilar nodes however were free from tumour. Patient recovered well and was discharged home day 9 post operation. Follow-up echocardiogram 3weeks post-op showed no recurrence of the mass and good LV function. Abstract P1342 Figure. Echo, CTscan, MRI and Pathology images

scholarly journals Surgical Resection of Atypical Metastatic Melanoma to the Atriocaval Junction: A Case Report

2021 ◽  
Author(s):  
Vitalis Osuji ◽  
Maha Alkhuziem ◽  
Daniel Beckman
Keyword(s):  
Case Report ◽  
Left Ventricle ◽  
Right Ventricle ◽  
Metastatic Melanoma ◽  
Surgical Resection ◽  
Right Atrium ◽  
Cardiac Metastasis ◽  
Metastatic Lesions ◽  
Direct Extension ◽  
The Right

Metastatic tumors to the heart include lymphomas, sarcoma, leukemia, and melanoma. Of these, metastatic melanoma is the most common, and are usually hematogenous, where metastatic lesions can be present in the left ventricle, right atrium, and/ or the right ventricle. We present an atypical metastatic melanoma pattern, where cardiac metastasis originated by direct extension from the adjacent gastric mesentery. We also present our trans-cardiac resection approach, which was the safest way to access the cardiac metastasis intra-operatively without disrupting the tumor.

scholarly journals Large Metastatic Cardiac Tumor from Ascending Colon Cancer with Autopsy

2021 ◽  
pp. 703-708
Author(s):  
Takashi Tomiyama ◽  
Takuya Shijimaya ◽  
Yasuki Sano ◽  
Sanshiro Kobayashi ◽  
Toshiro Fukui ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Therapeutic Intervention ◽  
Cardiac Tumor ◽  
Poor Prognosis ◽  
Clinical Feature ◽  
Cardiac Metastasis ◽  
Ascending Colon ◽  
Contrast Enhanced Ct ◽  
Metastatic Cardiac Tumor ◽  
The Right

A metastatic cardiac tumor from colon cancer is an exceedingly rare clinical feature associated with a poor prognosis without therapeutic intervention; however, such cases may be frequently encountered in clinical practice, especially among the elderly. We report a case of synchronous double cancer of the prostate and ascending colon with metastases to multiple organs, including a large cardiac tumor. A 71-year-old Japanese man had prostate cancer with neck and para-aortic metastasis. He visited our hospital with complaints of fatigue and a positive fecal occult blood test result. Colonoscopy findings revealed the presence of a tumor in the ascending colon, and contrast-enhanced CT revealed a tumor in the heart, which was possibly due to metastasis from the ascending colon. The patient received palliative care and declined anticancer treatment. He died due to respiratory failure 3 months after the first diagnosis but did not show critical arrhythmia until death. Autopsy revealed the presence of a large mass in the right ventricle with tumor embolism of the right coronary artery. The cardiac mass was pathologically consistent with metastasis from the colon. In case of colorectal cancer with cardiac metastasis involving poor prognosis or performance status, best supportive care without any therapeutic intervention could be the optimal treatment for the quality of the remaining time.

WITHDRAWN: Enlargement of the Right Atrium – Diverticulum or Aneurysm?

2002 ◽  
Author(s):  
R KOBZA ◽  
E OECHSLIN ◽  
R PRETRE ◽  
D KURZ ◽  
R JENNI
Keyword(s):  
Right Atrium ◽  
The Right

Closure of Secundum Atrial Septal Defect with Autologous Right Atrial Patch: Case Report

2005 ◽  
Vol 8 (2) ◽  
pp. 96 ◽  
Author(s):  
Osman Tansel Dar�in ◽  
Alper Sami Kunt ◽  
Mehmet Halit Andac
Keyword(s):  
Atrial Septal Defect ◽  
Right Atrium ◽  
Septal Defect ◽  
Complete Recovery ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Atrial Wall ◽  
Residual Shunt ◽  
Asd Closure ◽  
The Right

Background: Although various synthetic materials and pericardium have been used for atrial septal defect (ASD) closure, investigators are continuing to search for an ideal material for this procedure. We report and evaluate a case in which autologous right atrial wall tissue was used for ASD closure. Case: In this case, we closed a secundum ASD of a 22-year-old woman who also had right atrial enlargement due to the defect. After establishing standard bicaval cannulation and total cardiopulmonary bypass, we opened the right atrium with an oblique incision in a superior position to a standard incision. After examining the secundum ASD, we created a flap on the inferior rim of the atrial wall. A stay suture was stitched between the tip of the flap and the superior rim of the defect, and suturing was continued in a clockwise direction thereafter. Considering the size and shape of the defect, we incised the inferior attachment of the flap, and suturing was completed. Remnants of the flap on the inferior rim were resected, and the right atrium was closed in a similar fashion. Results: During an echocardiographic examination, neither a residual shunt nor perigraft thrombosis was seen on the interatrial septum. The patient was discharged with complete recovery. Conclusion: Autologous right atrial patch is an ideal material for ASD closure, especially in patients having a large right atrium. A complete coaptation was achieved because of the muscular nature of the right atrial tissue and its thickness, which is a closer match to the atrial septum than other materials.

Right Coronary Artery Fistula Draining into the Right Atrium and Associated with Mitral Valve Stenosis: A Case Report

2007 ◽  
Vol 10 (4) ◽  
pp. E325-E328 ◽  
Author(s):  
Ali Gürbüz ◽  
Ufuk Yetkin ◽  
Ömer Tetik ◽  
Mert Kestelli ◽  
Murat Yesil
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Mitral Valve ◽  
Right Coronary Artery ◽  
Right Atrium ◽  
Coronary Artery Fistula ◽  
Mitral Valve Stenosis ◽  
The Right
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