Left ventricular myxoma associated with mitral regurgitation

Arafat, Amr A.; Abdelwahab, Amr A.; Sabry, Mohab; Elsaied, Ayman

doi:10.1111/jocs.13254

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…interference in the functioning of the mitral and aortic valves; invasive tumors that can cause arrhythmias, pericardial effusion or even cardiac tamponade; systemic embolism is seen in 50% of cases [4,20]. Acute occlusion of the aorta can occur, being rare in the literature, and may present as paraplegia (due to spinal cord ischemia) in 50% of the cases and is incorrectly diagnosed as a neurological disorder [3].…”

Section: Left Ventricle Myxomamentioning

confidence: 99%

Left Ventricular Myxoma: Case Report

Luiz¹,

Mauro²,

Isabela³

et al. 2018

JPP

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Section: Left Ventricle Myxomamentioning

confidence: 99%

Left Ventricular Myxoma: Case Report

Luiz¹,

Mauro²,

Isabela³

et al. 2018

JPP

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“…Cardiac myxomas are the most common primary cardiac tumors in adults, accounting for 50% to 70% of the total cardiac tumors . They may be located in both the left and right heart chambers, and can be associated with right ventricular inflow and inferior vena cava obstruction, pulmonary hypertension, mitral regurgitation, congestive heart failure, and acute coronary syndromes . More than 90% of cardiac myxomas are isolated; the remainder, about 7%, occur as a part of a syndrome known as Carney complex (CNC) .…”

Section: Introductionmentioning

confidence: 99%

Clinical features and surgical results of cardiac myxoma in Carney complex

et al. 2019

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Background We sought to analyze clinical features and surgical results of 10 cases of cardiac myxomas in Carney complex (CNC). Methods Between January 2003 and December 2013, 10 patients with cardiac myxomas in CNC underwent surgical resection. Associated cardiac lesions included moderate and severe mitral regurgitation in two cases, and moderate tricuspid regurgitation in one case. Age, gender, the incidence of arterial embolism, the rate of multiple cardiac myxomas, and the recurrence rate after resections of cardiac myxoma were compared between isolated cardiac myxomas and cardiac myxomas in CNC. Results The incidence of cardiac myxoma in CNC was 1.74% (10/574). There were no deaths following surgery. There was one late death due to cerebral embolism 40 months following a reoperation (10%). A significant difference was found in the age, the incidence of arterial embolism, the rate of multiple cardiac myxomas, and the recurrence rate after resection of cardiac myxoma between cardiac myxoma in CNC and isolated cardiac myxoma (P < 0.05). There was no significant difference in gender between cardiac myxoma in CNC and isolated cardiac myxoma (P > 0.05). Conclusions Complex myxomas in CNS present at an earlier age, are more prevalent in women than in men, are more often multicentric, with a higher rate of arterial embolism and a high recurrence rate after resection. Close follow‐up for cardiac myxoma in CNC after surgery is necessary due to the high recurrence rate.

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“…Cardiac myxomas may develop in the left ventricle, left atrium, and right atrium and result in outflow tract obstruction, mitral regurgitation, and congestive heart failure . We present images of an intrapericardial myxoma which resulted in localized constrictive pericarditis.…”

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confidence: 99%

Localized constrictive pericarditis due to an intrapericardial myxoma

Xie

2018

J Card Surg

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Cardiac myxomas may develop in the left ventricle, left atrium, and right atrium and result in outflow tract obstruction, mitral regurgitation, and congestive heart failure. 1-6 We present images of an intrapericardial myxoma which resulted in localized constrictive pericarditis. A 41-year-old male presented with jugular venous distention and a 2-year history of exertional dyspnea. A transthoracic echocardiogram revealed compression of the right ventricle (RV) by an extracardiac mass (Figure 1). A computed tomography scan showed a calcified, cystic mass in the anterior mediastinum compressing the right ventricle (RV; Figure 2). A magnetic resonance imaging scan demonstrated a 9.1 × 4.2-cm mass in the anterior pericardium with significant compression of the RV free wall resulting in localized constrictive pericarditis (Figures 3A and 3B). At the time of surgery, the mass was excised along with a portion of the anterior pericardium via a mediansternotomy (Figure 4). This resulted in immediate expansion of the RV. The pathology of the mass revealed a myxoid matrix consistent with an intrapericardial myxoma (Figure 5). The patient had an uneventful postoperative course and remains in New York Heart Association Class I 6 months after surgery. CONFLICTS OF INTEREST None declared.FIGURE 1 Echocardiogram demonstrating compression of the right ventricular free wall and an associated mass lesionFIGURE 2 Computed tomography scan revealing a large, anterior calcified pericardial cyst J Card Surg. 2018;33:789-790.wileyonlinelibrary.com/journal/jocs

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Left ventricular myxoma associated with mitral regurgitation

Cited by 5 publications

References 3 publications

Left Ventricular Myxoma: Case Report

Left Ventricular Myxoma: Case Report

Clinical features and surgical results of cardiac myxoma in Carney complex

Localized constrictive pericarditis due to an intrapericardial myxoma

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