Left Atrial Myxoma in the Elderly: Diagnosis by M‐Mode and Bidimensional Echocardiography

Guillet, Philippe; C, Baconnet; Labrousse, A.; Aigueperse, I.; André, Alexandra; Grosgogeat, Y; Laurenceau, J L; Temkine, J; A, Vanetti

doi:10.1111/j.1532-5415.1981.tb01748.x

Cited by 6 publications

(3 citation statements)

References 29 publications

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“…Whereas myxoma is readily suspected in a young patient presenting with one or more problems of the classic triad of constitutional, embolic, or obstructive symptoms, it can go unrecognized for a long time in the elderly 3 . Moreover, important signs pointing toward the presence of an intra‐atrial mass tend to be attributed to more common disorders such as heart failure due to hypertension, infections, mitral stenosis or regurgitation, and coronary artery disease 13 …”

Section: Discussionmentioning

confidence: 99%

New Diagnosis of Left Atrial Myxoma in a 93‐Year‐Old Woman

Kang

Bhullar

Kang

2005

American J Geri Cardiology

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A 93-year-old woman with a history of hypertension was noted to have a mass in the left atrium prolapsing partially through the mitral valve on a routine surface echocardiogram in 2002. A transesophageal echocardiogram was then performed revealing an irregular mass with an appearance of protruding fronds of tissue. The echogenicity of the mass was inhomogeneous with some areas of punctate calcification, and the mass was attached to the interatrial septum. The echocardiographic appearance of the mass was almost pathognomic of atrial myxoma, and this is the oldest patient yet to have been diagnosed with a probable myxoma. The patient did not want surgical removal of the mass. She is still asymptomatic at the age of 95 years.

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Section: Discussionmentioning

confidence: 99%

New Diagnosis of Left Atrial Myxoma in a 93‐Year‐Old Woman

Kang

Bhullar

Kang

2005

American J Geri Cardiology

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“…In our case as in many previous reports, the diagnosis was not suspected clinically and was made later by TTE. LAM, although rarely observed in the elderly, may be diagnosed easily by means of echocardiography [9].…”

Section: Commentmentioning

confidence: 99%

Giant Left Atrial Myxoma in an Elderly Man: Case Report

Mahmoud¹,

Aldoori²,

Taha³

2014

CRCM

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Left atrial myxomas (LAM), the most common primary tumours of the heart are unusual or rare in the elderly. Moreover, elderly patients often present with non-specific symptoms that are frequently overlooked in the absence of a supporting cardiac history which makes an early diagnosis challenging. Herein, we reported large LAM in 70-year-old Iraqi Kurdish male who was presented with minimal obstructive symptoms and the diagnosis was not suspected clinically but discovered by trans-thoracic echocardiography (TTE) followed by successful surgical excision. Although atrial myxomas are benign, they have potential serious complications which mandate prompt therapy. Due to low morbidity and mortality besides its excellent outcome even in the elderly, surgery is the preferred choice of treatment for LAMs.

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“…Whereas myxoma is readily suspected in a young patient presenting with one or more symptoms of the classic triad, it can go unrecognized for long periods in the elderly. Moreover, important signs pointing towards the presence of an intra‐atrial mass tend to be attributed to more prevalent disorders such as infections, atherosclerosis, and coronary heart disease 7 . Increased life expectancy and the wide use of echocardiography should lead to some rise in cardiac tumor findings in geriatric patients.…”

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confidence: 99%