Atrial Myxoma Infected with Candida: First Survival

Joseph, Patrick; Himmelstein, David U.; Mahowald, John M.; Stullman, Walter S.

doi:10.1378/chest.78.2.340

Cited by 17 publications

(6 citation statements)

References 11 publications

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“…Occasionally, myxomas are infected 62,[90][91][92] ; in this circumstance, there is great danger of systemic embolization. In one case, a vegetation on a myxoma was detected by echocardiography, and the finding verified at surgery.…”

Section: Infected Myxomamentioning

confidence: 99%

Cardiac Myxomas

1995

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Although cardiac myxomas are histologically benign, they may be lethal because of their strategic position. They can mimic not only every cardiac disease but also infective, immunologic, and malignant processes. Myxomas must therefore be included in the differential diagnosis of valvular heart disease, cardiac insufficiency, cardiomegaly, bacterial endocarditis, disturbances of ventricular and supraventricular rhythm, syncope, and systemic or pulmonary embolism. The symptoms depend on the size, mobility, and location of the tumor. Echocardiography, including the transesophageal approach, is the most important means of diagnosis; CT and MRI may also be helpful. Coronary arteriography in patients over 40 years of age is generally required to rule out concomitant coronary artery disease. Surgical removal of the tumor should be performed as soon as possible; the long-term prognosis is excellent, and recurrences are rare. In follow-up examinations as well, echocardiography is essential.

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Section: Infected Myxomamentioning

confidence: 99%

Cardiac Myxomas

1995

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“…Our case represents an even rarer cardiac mass, namely a fungal mass, but should still be considered as a possible cause of primary cardiac masses. Such masses have been described previously as primary events in young infants and premature neonates, 3 , 4 but Candidal infection can also be the superimposed on pre-existing cardiac tumours 5 …”

Section: Discussionmentioning

confidence: 84%

“…Such masses have been described previously as primary events in young infants and premature neonates, 3,4 but Candidal infection can also be the superimposed on pre-existing cardiac tumours. 5 Prenatal and postnatal factors, such as hypoxia, haemodynamic and coagulation disturbances, are known to contribute to the formation of the vegetations. 6 According to one study, lesions were observed on the tricuspid valve by cross-sectional echocardiography in 5 neonates, 4 of whom presented with fetal distress.…”

Section: Discussionmentioning

confidence: 99%

An unusual right atrial mass in a two-month old infant

Baghaei

Moghaddam

Shahidi

2007

CTY

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“…8 But first fungus infected cardiac myxoma was reported by Joseph at al in 1980. 9 In the fi rst look mitral vegetative images on atrial face with chordae rupture together with clinical and laboratory fi ndings suggested infective endocarditis. Under antibiotic therapy he worsened and serial blood cultures were negative for typical bacterias.…”

Section: Discussionmentioning

confidence: 99%