Cardiac myxoma in diabetic pregnancy

Berberović, Behija Hukeljić; Kacila, Mirsad; Hadžimehmedagić, Amel; Berberović, Edina

doi:10.1016/j.ijgo.2014.01.005

Cited by 3 publications

(7 citation statements)

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“…Their pregnant history was not mentioned in 21 (41.2%) patients, while reported in 30 (58.8%) patients with 8 (26.7%) nulliparous, 8 (26.7%) monoparous and 14 (46.7%) multiparous. The timing of the pregnant patients to be symptomatic was available for 15 (29.4%) patients, with a mean duration of diseased course of cardiac myxoma of 4.0±7.2 months (28 hours-24 months; median, 1 month) ( n =10) (no quantitative timing was available in 3 patients [ 11 , 19 , 39 ] .…”

Section: Resultsmentioning

confidence: 99%

“…Location of cardiac myxoma was not clearly stated in 5 (9.8%) patients. In the remaining 46 (90.2%) patients, it was located in the left atrium in 37 (80.4%) [intraatrial septum in 11 (29.7%) [ 8 - 10 , 26 , 29 , 30 , 40 , 42 , 47 , 48 ] , anterior mitral leaflet in 2 (5.4%) [ 2 , 32 ] , free wall [ 36 ] in 1 (2.7%) and unknown in 23 (62.2%) patients [ 2 , 13 , 14 , 16 - 18 , 23 , 24 , 26 - 28 , 31 , 33 , 34 , 37 - 39 , 44 - 46 , 50 ] , right atrium in 5 (10.9%) [ 2 , 11 , 15 , 20 , 36 ] (one was multiple [ 20 ] ), left ventricle in 2 (4.3%) [ 12 , 21 ] , right ventricle in 1 (2.2%) [ 43 ] and multiple sites (septal tricuspid leaflet, left atrium, intraatrial septum and left atrial appendage) in 1 (2.2%) patient [ 41 ] . Three patients had recurrent cardiac myxomas [ 12 , 35 , 41 ] and one of them were recurrent multiple cardiac myxomas [ 41 ] .…”

Section: Resultsmentioning

confidence: 99%

“…The dimensions of the cardiac myxomas were available in 25 (49.0%) patients. One of them was described as "egg-sized" [ 46 ] and average dimension of the remaining 24 myxomas was 55.1±24.5 (range, 22-130; median, 55) mm ( n =24) [ 2 , 8 , 9 , 11 , 12 - 15 , 20 , 21 , 23 , 26 , 27 , 29 , 30 , 32 , 35 , 39 , 42 , 43 , 47 ] .…”

Section: Resultsmentioning

confidence: 99%

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Cardiac myxoma in pregnancy: a comprehensive review

Yuan¹

2015

Revista Brasileira De Cirurgia Cardiovascular

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ObjectiveCardiac myxoma in pregnancy is rare and the clinical characteristics of this entity have been insufficiently elucidated. This article aims to describe the treatment options and the risk factors responsible for the maternal and feto-neonatal prognoses.MethodsA comprehensive search of the literature of cardiac myxoma in pregnancy was conducted and 44 articles with 51 patients were included in the present review.ResultsTransthoracic echocardiography was the most common diagnostic tool for the diagnosis of cardiac myxoma during pregnancy. Cardiac myxoma resection was performed in 95.9% (47/49); while no surgical resection was performed in 4.1% (2/49) patients (P=0.000). More patients had an isolated cardiac myxoma resection in comparison to those with a concurrent or staged additional cardiac operation [87.2% (41/47) vs. 12.8% (6/47), P=0.000]. A voluntary termination of the pregnancy was done in 7 (13.7%) cases. In the remaining 31 (60.8%) pregnant patients, cesarean section was the most common delivery mode representing 61.3% and vaginal delivery was more common accounting for 19.4%. Cardiac surgery was performed in the first, second and third trimester in 5 (13.9%), 14 (38.9%) and 17 (47.2%) patients, respectively. No patients died. In the delivery group, 20 (76.9%) neonates were event-free survivals, 4 (15.4%) were complicated and 2 (7.7%) died. Neonatal prognoses did not differ between the delivery modes, treatment options, timing of cardiac surgery and sequence of cardiac myxoma resection in relation to delivery.ConclusionThe diagnosis of cardiac myxoma in pregnancy is important. Surgical treatment of cardiac myxoma in the pregnant patients has brought about favorable maternal and feto-neonatal outcomes in the delivery group, which might be attributable to the shorter operation duration and non-emergency nature of the surgical intervention. Proper timing of cardiac surgery and improved cardiopulmonary bypass conditions may result in even better maternal and feto-neonatal survivals.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Cardiac myxoma in pregnancy: a comprehensive review

Yuan¹

2015

Revista Brasileira De Cirurgia Cardiovascular

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“…Both reported cases were surgically treated in order to reduce the risk of embolization. Berberovic et al [6] reported the case of a diabetic pregnant woman with pre-eclampsia, where LA myxoma was diagnosed 2 days after cesarean delivery due to brain embolisms. Hence, in this case, the management was similar to the general population.…”

Section: Discussionmentioning

confidence: 99%

“…There is a female predominance, as 65% of myxomas occur in women, but its prevalence during pregnancy remains extremely low [2]. Few cases have been reported in the literature [3][4][5][6]. In the general population, prompt surgical resection of myxoma is recommended; however, in pregnancy, the decision-making process becomes more complex due to potential neonatal complications, related to low gestational age, and the potential myxoma embolization for both mother and fetus.In the present case, both, cesarean delivery and concomitant surgical resection of LA myxoma were both delayed after corticosteroid prophylaxis in order to reduce neonatal cerebral, intestinal, and pulmonary complications.…”

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confidence: 99%

Corticosteroid prophylaxis for fetal immaturity in a pregnant patient with atrial myxoma

Giammarco

Marchetti

Foschi

et al. 2016

Journal of Cardiology Cases

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IntroductionMyxoma is the most common primary cardiac tumor, ranging from 30% to 50% of all primary cardiac tumors; nevertheless, it should be considered a rare finding with an annual incidence of 0.5 per million [1]. There is a female predominance, as 65% of myxomas occur in women, but its prevalence during pregnancy remains extremely low [2]. Few cases have been reported in the literature [3][4][5][6]. In the general population, prompt surgical resection of myxoma is recommended; however, in pregnancy, the decision-making process becomes more complex due to potential neonatal complications, related to low gestational age, and the potential myxoma embolization for both mother and fetus.In the present case, both, cesarean delivery and concomitant surgical resection of LA myxoma were both delayed after corticosteroid prophylaxis in order to reduce neonatal cerebral, intestinal, and pulmonary complications. Case reportA 32-year-old nulliparous female at 32nd gestational week was admitted to our unit with a diagnosis of left atrial (LA) mass. The patient complained of resting dyspnea. The blood samples and electrocardiogram (ECG) did not show any alteration. Transthoracic, before, and trans-esophageal echocardiography (TEE) showed the presence of LA mass of 5 cm Â 3 cm, attached to left atrium dome with a sessile base of implant, and the presence of calcifications and necrotic areas inside. The mitral valve was not involved (Fig. 1). Cardiac magnetic resonance (CMR) was performed to better visualize the mass extension, the anatomical rapports, and for tissue-typing. CMR confirmed the mass size (5 cm Â 3.7 cm); the LA mass originated from the superior portion of interatrial septum with partial compression of right pulmonary veins (Fig. 2), the latter might have explained the symptoms.The typical localization of the LA prompted us toward a diagnosis of LA myxoma rather than malignancy or metastatic A B S T R A C TWe report a case of a woman at 32nd gestational week, admitted for resting dyspnea, showing left atrial (LA) myxoma. Cardiac myxomas are the most common primary benign tumors of the heart. The incidence of cardiac myxomas diagnosed in pregnancy is extremely low. In the present case, cesarean delivery and concomitant surgical resection of LA myxoma were both delayed after corticosteroid prophylaxis in order to reduce neonatal cerebral, intestinal, and pulmonary complications.

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Analise dos desfechos da gestação em mulheres com Diabetes Mellitus tipo 1 diagnosticadas antes da gravidez: uma revisão sistemática

Fleury

Barretto

Braga

et al. 2021

RSD

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A Diabetes mellitus tipo 1 acomete homens e mulheres em diversas faixas etárias ao redor do mundo. Essa condição gera uma preocupação especial quando associada à gestação já que tende a causar diversas complicações para mãe e feto durante a gravidez, o momento do parto e após o nascimento. Esse artigo visa estudar o desfecho de gravidezes em mulheres com diabetes tipo 1 através de uma revisão sistemática. Foi feita uma revisão sistemática de estudos observacionais que se referem a gravidez em diabéticas, diabetes tipo 1 e complicações materno-fetais com base em artigos das bases de dados PubMed e Bireme. Foram extraídos dados dos 19 artigos incluídos. Os dados observados que mais chamaram atenção estavam relacionados à ocorrência de pré-eclâmpsia e/ou parto pré-termo e ao nascimento de fetos grandes para a idade gestacional. Observações similares foram feitas para outros itens importantes (por exemplo, Apgar, peso do recém-nascido, tratamento para diabetes). Concluiu-se, então que um ideal controle glicêmico é essencial e eficaz para evitar a ocorrência de desfechos desfavoráveis de uma gestação.

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Cardiac myxoma in diabetic pregnancy

Cited by 3 publications

References 3 publications

Cardiac myxoma in pregnancy: a comprehensive review

Cardiac myxoma in pregnancy: a comprehensive review

Corticosteroid prophylaxis for fetal immaturity in a pregnant patient with atrial myxoma

Analise dos desfechos da gestação em mulheres com Diabetes Mellitus tipo 1 diagnosticadas antes da gravidez: uma revisão sistemática

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