Cardiac Pseudosarcomatous Fibromyxoid Tumor

Chughtai, Aamer; Cronin, Paul; Kelly, Aine Marie; Lucas, David R.; Pagani, Francis D.; Kazerooni, Ella A.

doi:10.1097/01.rct.0000182855.98144.15

Cited by 12 publications

(7 citation statements)

References 22 publications

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“…Although MRI has better soft tissue characterization and superior contrast resolution than MR, advances in CT scanner technology in the last few years make CT a robust and reproducible technique for cardiac evaluation. 1 CT remains the best way to show intracardiac expansion due to tumor, and CT also has the advantage of evaluating the entire thorax, including the mediastinum, lungs, and great vessels for further metastatic disease. 5 The prognosis of these patients is not well known; however, the most favorable prognostic indicator is the complete resection of the tumor, 7 and when surgical resection is feasible, this is the indicated therapy.…”

Section: Discussionmentioning

confidence: 99%

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Metastatic Shoulder Liposarcoma to the Right Ventricle

Chughtai¹,

Cronin²,

Lucas³

et al. 2007

Journal of Thoracic Imaging

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Metastatic cardiac liposarcoma is rare. A right ventricular liposarcoma metastasis is described in a 46-year-old man, who was admitted with significant shortness of breath and fatigue, and in whom a large lobulated low attenuation mass occupying most of the right ventricular cavity, with extension through the right ventricular apex and a small-to-moderate pericardial effusion was detected by electrocardiogram-gated cardiac computed tomography. The patient had an antecedent history of a left upper arm liposarcoma treated with surgical resection, chemotherapy, and postoperative radiotherapy 3 years earlier. Surgical resection was performed with the majority of the neoplasm removed though; the right ventricular apex and epicardial extension of tumor could not be fully resected. The histopathologic analysis revealed a liposarcoma, similar to the one resected in the left arm 3 years earlier. Electrocardiogram-gated cardiac computed tomography was able to visualize the metastatic tumor within the heart, accurately evaluate cardiac function and allow for prompt surgical treatment that produced relief of symptoms, and assess for further metastatic disease within the thorax.

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Section: Discussionmentioning

confidence: 99%

“…1 They are associated with a worse prognosis than primary cardiac tumors. In a 30-year review of cardiac neoplasms at autopsy, Butany et al 2 showed that metastases to the heart and pericardium were 132 times more common than primary cardiac neoplasms.…”

Section: Discussionmentioning

confidence: 99%

Metastatic Shoulder Liposarcoma to the Right Ventricle

Chughtai¹,

Cronin²,

Lucas³

et al. 2007

Journal of Thoracic Imaging

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“…IMT is a rare benign tumor characterized by proliferation of myofibroblast and inflammatory cell infiltration. There have been few case reports of IMT with the exact incidence unknown .…”

Section: Discussionmentioning

confidence: 99%

Left main coronary artery embolization in an 11‐year‐old girl due to inflammatory myofibroblastic tumor of the mitral valve

Kheiwa

Turner

Schreiber

2015

Cathet Cardio Intervent

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This report describes a rare case of a subtotal left main coronary artery occlusion from mitral valve tumor embolization in an 11-year-old African American girl. This case is the first to report isolated ST segment elevation in lead aVR as a sign of a subtotal left main coronary artery occlusion in the pediatric population. In our case, we report a rare case of inflammatory myofibroblastic tumor of the mitral valve presenting with acute myocardial infarction due to embolization into the left main coronary artery. Coronary intervention was successfully performed using an aspiration catheter. Inflammatory myofibroblastic tumor usually presents as a solitary pulmonary nodule. Intracardiac involvement has been rarely reported. Despite the benign nature of the tumor, fatal presentations can occur. Early recognition and rapid intervention can be lifesaving in these patients.

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“…Cardiac IPT/IMT is rare, and only isolated cases have been reported: 39 cases have been reported in the English language literature, and 37 are listed in Table 2 (the two unlisted cases lacked precise data) 3,6,10–33 . The patients ranged in age from 5 weeks to 72 years, with a predilection for females.…”

Section: Discussionmentioning

confidence: 99%

Inflammatory pseudotumor (inflammatory myofibroblastic tumor) of the mitral valve of the heart

Obikane

Ariizumi

Yutani

et al. 2010

Pathology International

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We report a rare case of inflammatory pseudotumor/inflammatory myofibroblastic tumor (IPT/IMT) of the heart, involving the mitral valve. A 58-year-old woman presenting with dyspnea was immediately admitted to the hospital, and found to have congestive heart failure due to the invagination of a tumor-like mass of the mitral valve. This mass arose from and involved almost the entire posterior leaflet of the mitral valve and occupied almost the entire mitral valve orifice. The tumor was a yellowish-white well-circumscribed mass with a smooth surface. The excised mass was 3.0 x 2.3 x 1.8 cm, and consisted of abundant Sudan III-positive foam cells, histiocytes, lymphocytes, plasma cells, and loosely arrayed spindle cells, in vascular-rich fibrous tissue. Immunohistochemistry showed that the spindle cells were positive for vimentin and alpha-smooth muscle actin, and negative for desmin, CD34, and human muscle actin (HHF-35), suggesting they were myofibroblastic cells. The plasma cells and lymphocytes showed no monoclonality. There were few mitotic cells, and, except for the lymphocytes, few Ki-67-positive cells. The findings suggested IPT/IMT. The 39 cardiac IPT/IMT cases appearing in the English-language literature are discussed.

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Cardiac Pseudosarcomatous Fibromyxoid Tumor

Cited by 12 publications

References 22 publications

Metastatic Shoulder Liposarcoma to the Right Ventricle

Metastatic Shoulder Liposarcoma to the Right Ventricle

Left main coronary artery embolization in an 11‐year‐old girl due to inflammatory myofibroblastic tumor of the mitral valve

Inflammatory pseudotumor (inflammatory myofibroblastic tumor) of the mitral valve of the heart

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