Giant left atrial myxoma with left and right coronary system blood supply accompanying mitral stenosis; real-time three- dimensional echocardiography imaging

Alızade, Elnur; Çakır, Hakan; Açar, Göksel; Pirmammadova, Cemile

doi:10.5152/akd.2013.163

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Alternate imaging modality includes real time three-dimensional echocardiography (RT3DE) which allows accurate measurements of the entire volume of the mass in multiple planes and also can evaluate the real time effects of the mass on left ventricular inflow. [11] The treatment is surgical removal. Surgery involves removing the tumor and a wide resection of the pedicle to prevent recurrence.…”

Section: Discussionmentioning

confidence: 99%

A rare association of left atrial myxoma with rheumatic mitral stenosis

Vaidya

Devarapally

2016

CRIM

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Primary cardiac tumors are very rare. Atrial myxomas are the most common primary tumors and are commonly located in the left atrium. Myxomas can cause mitral valve inflow obstruction and can present with clinical signs and symptoms of mitral stenosis and the possibility of myxoma should be considered in differential diagnosis of mitral stenosis. Left atrial myxoma is rarely associated with rheumatic mitral stenosis. Transesophageal echocardiography plays a major role in the diagnosis of this tumor. We report a case of an extremely rare association between left atrial myxoma and rheumatic mitral stenosis. Because of its location and mobility, a thrombus in the left atrium may have a similar appearance to left atrial myxoma. However, a careful inspection of features of the left atrial mass may allow a diagnosis of left atrial myxoma. In our case, the site near the atrial septum, heterogeneous echogenicity, and detection of a stalk connecting the myxoma to the atrial septum were inspected. Such findings essentially exclude thrombus.

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Section: Discussionmentioning

confidence: 99%

A rare association of left atrial myxoma with rheumatic mitral stenosis

Vaidya

Devarapally

2016

CRIM

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“…Left atrial myxoma blood supply from the left and right coronary arteries is an unusual finding and has, to our knowledge, only been reported in 2 patients. 5,6 The role of coronary angiography in determination of a tumor is not well understood. However, it is currently a diagnostic tool for evaluation of concomitant coronary artery disease.…”

Section: Discussionmentioning

confidence: 99%

A case of left atrial myxoma with unusual tumor vascularity

Shabestari

Fazlinezhad

Moravvej

et al. 2013

Asian Cardiovasc Thorac Ann

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A 69-year-old woman presented with a 2-week history of chest pain and mitral and aortic valve replacement 15 and 5 years earlier. Transthoracic echocardiography revealed a well-seated monoleaflet mitral valve and a bileaflet aortic valve with normal function. Cardiac catheterization showed 3-vessel coronary artery disease and an abnormal cluster of new vessels derived from the left atrial circumflex and posterior ventricle branches. Two- and 3-dimensional transesophageal echocardiography identified a semi-mobile oval left atrial mass with multiple internal cystic spaces, attached to the fossa ovalis region in the interatrial septum. The mass was resected. The pathological diagnosis was atrial myxoma.

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“…The incidence of primary cardiac tumors has been reported to be as low as approximately 0.02% (1)(2)(3)(4)(5). Myxomas account for nearly 77% of all primary cardiac tumors (6)(7)(8). Echocardiography, cardiac MRI, coronary computed tomography angiography (CTA), and coronary angiography are available diagnostic modalities for cardiac myxoma (8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%