Mobile Left Atrial Mass – Clot or Left Atrial Myxoma

2017 ◽  
Vol 8 (1) ◽  
pp. 31-34
Author(s):  
Suraj Wasudeo Nagre
2008 ◽  
Vol 9 (3) ◽  
pp. 415-416 ◽  
Author(s):  
Yigal Abramowitz ◽  
Gidon Perlman ◽  
Eli Levy ◽  
Ronen Beeri ◽  
Tova Chajek-Shaul ◽  
...  

Author(s):  
Zeinelabdien Elsherif ◽  
Naveed Mahmood ◽  
Amjad M Ahmed

Abstract Background Cardiac myxomas are the most common benign primary cardiac tumours. The natural history of left cardiac myxomas is thought to be of slowly growing tumours. Cardiac myxomas are a heterogeneous group with a variable growth rate. They present usually with stroke, valve obstruction, or non-specific symptoms. Surgical resection is the effective treatment. Case summary This case report describes a 56-year-old hypertensive and dyslipidaemic female, when she was admitted in January 1990, complaining of loss of appetite, aches, pains, and palpitations. Her workup included a transthoracic echocardiography and transoesophageal echocardiography, which showed a left atrial mass attached to the inter-atrial septum, highly suggestive of left atrial myxoma. She was referred for surgical removal of the left atrial mass. However, she was reluctant to undergo surgery as she felt better. The patient was followed-up for almost 30 years with the left atrial mass confirmed as left atrial myxoma by cardiac magnetic resonance imaging. The left atrial mass became smaller in size and more calcified. Discussion Cardiac myxomas are a group of heterogeneous tumours, thought to be slowly growing. The growth rate of cardiac myxomas prior to diagnosis is not well known, as the vast majority is treated with surgical resection immediately after diagnosis. Our case showed the natural progression of an unoperated smooth-surfaced left atrial myxoma followed-up for almost 30 years, which slowly became smaller and more calcified.


Author(s):  
António Fontes ◽  
Nuno Dias-Ferreira ◽  
Anabela Tavares ◽  
Fátima Neves

Abstract Background Myocarditis is an uncommon, potentially life-threatening disease that presents with a wide range of symptoms. In acute myocarditis, chest pain (CP) may mimic typical angina and also be associated with electrocardiographic changes, including an elevation of the ST-segment. A large percentage (20–56%) of myxomas are found incidentally. Case summary A 62-year-old female presenting with sudden onset CP and infero-lateral ST-elevation in the electrocardiogram. The diagnosis of ST-elevation myocardial infarction was presumed and administered tenecteplase. The patient was immediately transported to a percutaneous coronary intervention centre. She complained of intermittent diplopia during transport and referred constitutional symptoms for the past 2 weeks. Coronary angiography showed normal arteries. The echocardiogram revealed moderate to severe left ventricular systolic dysfunction due to large areas of akinesia sparing most of the basal segments, and a mobile mass inside the left atrium attached to the septum. The cardiac magnetic resonance (CMR) suggested the diagnosis of myocarditis with concomitant left atrial myxoma. The patient underwent resection of the myxoma. Neurological evaluation was performed due to mild vertigo while walking and diplopia in extreme eye movements. The head magnetic resonance imaging identified multiple infracentimetric lesions throughout the cerebral parenchyma compatible with an embolization process caused by fragments of the tumour. Discussion Myocarditis can have various presentations may mimic acute myocardial infarction and CMR is critical to establish the diagnosis. Myxoma with embolic complications requires emergent surgery. To the best of our knowledge, this is the first case reported in the applicable literature of a myxoma diagnosed during a myocarditis episode.


2021 ◽  
Vol 77 (18) ◽  
pp. 3012
Author(s):  
Phillip Tran ◽  
Hanh D. Le ◽  
Trung M. Tran ◽  
Duy K. Doan ◽  
Huong Nguyen ◽  
...  

Circulation ◽  
1967 ◽  
Vol 36 (3) ◽  
pp. 417-421 ◽  
Author(s):  
JOHN L. PENNY ◽  
JOHN J. GREGORY ◽  
STEPHEN M. AYRES ◽  
STANLEY GIANNELLI ◽  
PLINIO ROSSI

1970 ◽  
Vol 282 (18) ◽  
pp. 1022-1023 ◽  
Author(s):  
Robert E. Finegan ◽  
Donald C. Harrison

2017 ◽  
Vol 381 ◽  
pp. 879
Author(s):  
P. Lebedynets ◽  
V. Lebedynets ◽  
M. Moroz ◽  
K. Stetsyura

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