Clinical presentations, diagnosis, and management of arrhythmias associated with cardiac tumors

Shenthar, Jayaprakash

doi:10.1002/joa3.12030

Cited by 33 publications

(17 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Upon diagnosis of a pericardial lipoma, surgical excision by median sternotomy is indicated as both the therapeutic and diagnostic course of treatment [8]. With the incidence of postoperative atrial fibrillation after major thoracic surgery being not uncommon at >30% [12,13], monitoring for postoperative arrhythmias (usually atrial fibrillation or flutter) has become common practice for these procedures [14]. However, this elevated awareness does not mean arrhythmias are of little consequence, as resultant hemodynamic compromise and thromboembolism are serious contributors to morbidity and mortality in these patients [15].…”

Section: Discussionmentioning

confidence: 99%

Giant Pericardial Lipoma Inducing Cardiac Tamponade and New Onset Atrial Flutter

Kerndt

Balinski

Papukhyan

2020

Case Reports in Cardiology

View full text Add to dashboard Cite

Although pericardial lipomas are both rare and benign, rapid or excessive growth can induce potentially fatal conditions such as pericarditis, arrhythmia, and cardiac tamponade. This case illustrates an example where a 65-year-old with atypical chest tightness unveiled a 10×15 cm anterior pericardial mass with circumferential effusion and progressive deterioration to cardiac tamponade. Initial transthoracic echocardiogram imaging was technically difficult in this patient due to habitus and body mass, which failed to illustrate underlying effusion. Recurrent bouts of refractory supraventricular tachycardia prompted further investigation of this patient’s presentation with transesophageal echocardiogram, which showed evidence of an echogenic mass with cardiac tamponade. An urgent pericardial window and pericardial lipectomy immediately relieved this hemodynamically compromising condition. Subsequent atrial flutter resulted with the removal of the anterior fat pad during surgery, complicating recovery.

show abstract

Section: Discussionmentioning

confidence: 99%

Giant Pericardial Lipoma Inducing Cardiac Tamponade and New Onset Atrial Flutter

Kerndt

Balinski

Papukhyan

2020

Case Reports in Cardiology

View full text Add to dashboard Cite

show abstract

“…CT and magnetic resonance imaging can help determine the location and the extent of the cardiac myxoma. 10 In spite of this, we diagnosed our patient with postmortem histologic findings because the localization and size of the tumor were atypical.…”

Section: Discussionmentioning

confidence: 93%

Giant Right Atrial Myxoma with Fulminant Progression in an Infant

Azapağası

Yazıcı

Ari

et al. 2020

J Pediatr Intensive Care

View full text Add to dashboard Cite

Cardiac myxoma is rare in children. Myxomas are exceedingly rare in infancy. Right atrial myxomas were recorded in a small number of case reports involving infants worldwide. We report the case of a 2-month-old infant with giant right atrial myxoma. The case presented to our hospital with respiratory distress, and had pericardial and pleural effusion. Diagnosis of cardiac tumor was made with the aid of computerized tomography scan and echocardiogram. The tumor size was 3.1 × 3.4 × 3.9 cm. The patient worsened rapidly and had sudden cardiac arrest which did not respond to interventions. Postmortem cardiac autopsy confirmed the diagnosis of myxoma on gross examination and histology. This article aims to focus attention to the atypical size and location of this atrial myxoma, causing diagnostic difficulty in this infant.

show abstract

“…(13). While a considerable number of investigations have considered fibromas to represent the second most common tumors in the pediatric population (15,16), there are articles from the United States (4), China (10), and Australia (17), which have reported a high prevalence of myxomas by comparison with fibromas. Fibromas commonly present as single tumors, although they are multiple on rare occasions.…”

Section: Discussionmentioning

confidence: 99%

Primary Cardiac Tumors in Children: An 8-Year-Experience in a Single Center

et al. 2020

View full text Add to dashboard Cite

Background: Cardiac neoplasms are not common in the pediatric population, and most of the reported cases in the literature are benign. Despite their benign nature, however, cardiac neoplasms may lead to hemodynamic instability and arrhythmias. Objectives: Our study aimed to review the natural history, diagnosis, pathological features, and outcome of pediatric patients with cardiac tumors presenting to a tertiary pediatric cardiac center over an 8-year period. Methods: This retrospective observational study reviewed and analyzed the hospital records and data of pediatric patients diagnosed with cardiac tumors over an 8-year period (2007 - 2015). Results: During the period covered by the study (2007 - 2015), a total of 62975 pediatric in and out patients were referred to our tertiary cardiac center for cardiac evaluation. Cardiac tumors were identified in 41 patients, in 35 of whom tumor types were recognized. Rhabdomyomas were the most common tumors, followed by fibromas and myxomas. Fourteen patients underwent surgical management (either total or partial resection), and 4 patients received chemotherapy. Associated congenital heart diseases, except for the patent foramen ovale, were detected in12 patients. Conclusions: While almost all our findings were compatible with previous data, we had a comparatively large number of undetermined tumors. Therefore, a better understanding of the imaging characteristics of cardiac tumors is needed for a better diagnosis of tumor types via noninvasive modalities.

show abstract

Clinical presentations, diagnosis, and management of arrhythmias associated with cardiac tumors

Cited by 33 publications

References 32 publications

Giant Pericardial Lipoma Inducing Cardiac Tamponade and New Onset Atrial Flutter

Giant Pericardial Lipoma Inducing Cardiac Tamponade and New Onset Atrial Flutter

Giant Right Atrial Myxoma with Fulminant Progression in an Infant

Primary Cardiac Tumors in Children: An 8-Year-Experience in a Single Center

Contact Info

Product

Resources

About