A Large Left Ventricle Myxoma: Presenting with Epigastric Pain and Weight Loss

Fakhari, Solmaz; Bilehjani, Eissa

doi:10.1155/2016/9018249

Cited by 7 publications

(6 citation statements)

References 17 publications

(37 reference statements)

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“…Early mortality is low less than 5%. In our case, the patient presented with a transient ischemic attack due to brain embolization with a fragment detached from the myxoma [9]. The postoperative follow-up was straightforward and she was discharged from the hospital via home hospitalization.…”

Section: Discussionmentioning

confidence: 81%

Left Atrium Emboligenic Myxoma: Case Report and Review of the Literature

Coulibaly¹,

Kanté²,

Diakité³

et al. 2021

OJTS

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Introduction: Cardiac myxomas represent the most frequent forms of primary tumors of the heart. The most frequent location is the interatrial septum. We report the clinical case of a myxoma of the left atrium and discuss its epidemiological and therapeutic aspects through a review of the literature. Observation: This was a 41-year-old female patient who presented with sudden rotational dizziness associated with vomiting. MRI revealed multiple punctiform bilateral supra and subtentorial strokes of different ages, recent and semi-recent, suggesting an embologenic etiology. Transesophageal echocardiography found a large pedunculated, homogeneous, avascular tumor hanging from the interatrial septum. The patient is operated on urgently under cardiopulmonary bypass for resection of a large tumor located in the left atrium. The pathological examination concluded with the diagnosis of myxoma of the left atrium. The postoperative follow-up was straightforward and the patient was discharged from the hospital via home hospitalization. Conclusion: The diagnosis of cardiac myxomas is suspected in the presence of symptoms associated with echocardiographic images of intracardiac masses and confirmed by histological study. Embolic accidents are one of the formidable complications of myxomas. Surgical management is urgent, especially in the presence of predictive morphological features of embolism on echocardiography.

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Section: Discussionmentioning

confidence: 81%

Left Atrium Emboligenic Myxoma: Case Report and Review of the Literature

Coulibaly¹,

Kanté²,

Diakité³

et al. 2021

OJTS

View full text Add to dashboard Cite

show abstract

“…Clinical manifestations are often asymptomatic and manifest only when the mass size is large enough to interfere with the function of the mitral valve causing obstruction or regurgitation, which can predispose the patient to atrial fibrillation [10] , [11] . Often this cardiac tumor is incidentally identified upon transthoracic echocardiography [11] .…”

Section: Discussionmentioning

confidence: 99%

Cardiac metastasis of triple-negative breast cancer mimicking myxoma: A case report

Mallapasi

Kusumanegara

Kabo

et al. 2021

International Journal of Surgery Case Reports

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“…According to previous reports, LV myxomas usually arise from the septal endocardium [10], and there are a few case reports of growth from the LV free wall [8,11]. Cardiac myxomas related to the Carney complex (CNC) more frequently occur in the left ventricle, compared with sporadic myxomas [11].…”

Section: Discussionmentioning

confidence: 99%

Primary cardiac tumors: a spectrum of pathologies and scenarios

et al. 2020

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Background: Cardiac tumors are rare, and their diagnosis is challenging. The level of evidence for the management of cardiac tumors came from case reports or small case series. We aim to present our multicenter experience in the diagnosis and management of cardiac tumors. Results: We performed a prospective study, including 82 cases of cardiac tumors encountered at three centers in 5 years. The mean age was 62 ± 5.8 years old (range 2 months-74 years), and 91.4% were females constituted. The median EuroSCORE II was 4.27%. All cases underwent radical excision of the tumor. Five cases underwent additional mitral valve replacement and one case underwent coronary bypass grafting. Pathological diagnoses were left atrial myxomas (n = 65, 79.3%), right atrial myxomas (n = 5, 6.1%), bi-atrial myxomas (n = 2, 2.4%), right ventricular outflow tract myxoma (n = 1, 1.2%), myxosarcoma (n = 1, 1.2%), thymoma (n = 1, 1.2%), recurrent hemangioendothelioma (n = 1, 1.2%), round cell tumor (n = 1, 1.2%), cardiac lymphoma (n = 1, 1.2%), rhabdomyomas (n = 2, 2.4%), and renal cell carcinomas (n = 2, 2.4%). Two patients (2.4%) had re-exploration for bleeding. One patient (1.2%) with right atrial thymoma experienced a severe vasoplegia with unstable hemodynamics. Two patients had operative mortality (2.4%), one with recurrent cardiac hemangioendothelioma. During 1-year follow-up, one patient (1.2%) died because of metastatic myosarcoma. Recurrence was reported in 2 patients (2.4%). Conclusions: The clinical scenario of cardiac tumors depends mainly on tumor location and size rather than the histopathology. Surgical resection is feasible in benign tumors while very challenging in malignant tumors.

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A Large Left Ventricle Myxoma: Presenting with Epigastric Pain and Weight Loss

Cited by 7 publications

References 17 publications

Left Atrium Emboligenic Myxoma: Case Report and Review of the Literature

Left Atrium Emboligenic Myxoma: Case Report and Review of the Literature

Cardiac metastasis of triple-negative breast cancer mimicking myxoma: A case report

Primary cardiac tumors: a spectrum of pathologies and scenarios

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