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

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.

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 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.

scholarly journals Rare Case of 6 cm Right Atrial Myxoma in Patient with Synchronous Endometrial Adenocarcinoma

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mohammad Altujjar ◽  
Feras Zaeim ◽  
Erin Sheehan ◽  
Wily Gan ◽  
Mohammed Mhanna ◽  
...  
Keyword(s):  
Rare Case ◽  
Endometrial Adenocarcinoma ◽  
Cardiac Myxoma ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Cardiac Tumors ◽  
Right Atrial Mass ◽  
Right Atrial Myxoma ◽  
Cardiac Myxomas ◽  
Primary Cardiac Tumors

Primary cardiac tumors are extremely rare. Cardiac myxomas most frequently appear in the left atrium. In this article, we present a case of an asymptomatic 6 cm right atrial mass in a patient undergoing staging for endometrial cancer. The mass was resected, and final pathology was consistent with cardiac myxoma.

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

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
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

scholarly journals Multiple Cerebral Aneurysms Caused by Cardiac Myxoma

2007 ◽  
Vol 13 (2) ◽  
pp. 179-184 ◽  
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.

scholarly journals Giant Right Atrial Myxoma with Fulminant Progression in an Infant

2020 ◽  
Author(s):  
Ebru Azapağası ◽  
Mutlu Uysal Yazıcı ◽  
Mehmet Emre Ari ◽  
Rabia Sedef Karakaya ◽  
Hasibe Gökçe Çınar ◽  
...  
Keyword(s):  
Cardiac Tumor ◽  
Case Reports ◽  
Sudden Cardiac Arrest ◽  
Cardiac Myxoma ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Focus Attention ◽  
Right Atrial Myxoma ◽  
Tomography Scan ◽  
Gross Examination

AbstractCardiac myxoma is rare in children. Myxomas are exceedingly rare in infancy. Right atrial myxomas were recorded in a small number of case reports involving infants worldwide. We report the case of a 2-month-old infant with giant right atrial myxoma. The case presented to our hospital with respiratory distress, and had pericardial and pleural effusion. Diagnosis of cardiac tumor was made with the aid of computerized tomography scan and echocardiogram. The tumor size was 3.1 × 3.4 × 3.9 cm. The patient worsened rapidly and had sudden cardiac arrest which did not respond to interventions. Postmortem cardiac autopsy confirmed the diagnosis of myxoma on gross examination and histology. This article aims to focus attention to the atypical size and location of this atrial myxoma, causing diagnostic difficulty in this infant.

Right atrial myxoma with peripheral eosinophilia: Eosinophilia in cardiac myxoma

2019 ◽  
Vol 35 (2) ◽  
pp. 507-510
Author(s):  
Gilson C. Fernandes ◽  
Walter Alejandro Pajares ◽  
Natalia Amboss ◽  
Tomas A. Salerno ◽  
Cesar Mendoza
Keyword(s):  
Cardiac Myxoma ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Peripheral Eosinophilia ◽  
Right Atrial Myxoma

scholarly journals Large Right Atrial Myxoma Masquerading as Malignancy

2021 ◽  
Author(s):  
Bharath V. ◽  
Milind Padmakar Hote
Keyword(s):  
Right Heart Failure ◽  
Large Mass ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Free Wall ◽  
Right Heart ◽  
Rare Presentation ◽  
Right Atrial Myxoma ◽  
Hard Consistency ◽  
Stony Hard

AbstractA 57-year-old female presented to emergency with features of right heart failure. On evaluation, she was found to have a large mass occupying right atrium (RA) completely and protruding into right ventricle through tricuspid valve. Intraoperatively, mass was seen arising from RA free wall with stony hard consistency. Histopathology revealed it to be myxoma. We present this case for the rare presentation of myxoma masquerading as malignancy.

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