Small, smooth, nonmobile cardiac myxoma detected by transesophageal echocardiography following recurrent cerebral infarction: a case report

Saito, Yuki; Aizawa, Yoshihiro; Monno, Koyuru; Nagashima, Koichi; Kurokawa, Syuhei; Osaka, Shunji; Akimoto, Takayoshi; Kamei, Satoshi; Tanaka, Masashi; Hirayama, Atsushi

doi:10.1186/s13256-017-1298-z

Cited by 5 publications

(5 citation statements)

References 16 publications

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“…Small size (< 4.5 cm in diameter), soft and gelatinous matrix, irregular and villous surface structures, and mobility are all associated with increased risk of embolism . Although most of the reported myxomas causing recurrent cerebral infarction measure > 2 cm in size and have a mobile component, occasional small non‐mobile tumors, as in our case, have been documented to cause embolic stroke …”

Section: Discussionmentioning

confidence: 56%

Metastatic lesions of atrial myxoma. A pathologist can clinch them all

et al. 2020

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Atrial myxomas are the most common primary benign cardiac tumors. The embolization of tumor particles is not infrequent, and in nearly half of them, the cerebral arteries are affected, usually leading to embolic ischemic stroke. Formation of intracranial aneurysms, development of parenchymal brain metastasis, and intracerebral hemorrhage due to ruptured aneurysms are rarer. Diagnosis of such lesions in a previously undiagnosed case of myxoma may be challenging for a pathologist. Herein, we present two patients of cardiac myxoma with varied neurological manifestations and their pathological findings.

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Section: Discussionmentioning

confidence: 56%

Metastatic lesions of atrial myxoma. A pathologist can clinch them all

et al. 2020

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“…Cardiac myxoma is a rare primary benign tumor with a variable clinical presentation. TTE provides a precise method for diagnosis and is a very helpful tool for follow-up [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Late Mortality in Patients With Surgically Resected Cardiac Myxomas: A Single-Center Experience

Tulin¹,

Geana²,

Robu³

et al. 2022

Cureus

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Background and objectiveMyxomas are the most common cardiac tumors. This study aimed to analyze the possible risk factors associated with late mortality in this group of patients and assess long-term survival. MethodsA retrospective study was conducted among patients who underwent myxomas resection between January 2008 and July 2019 in our service. The patients' preoperative, intraoperative, and postoperative data were analyzed. Multivariate logistic regression was performed to identify predictors of mortality at five years. The Kaplan-Meier curve and Cox proportion-adjusted survival curves were used to assess mortality at five and 10 years. ResultsA total of 108 patients with cardiac myxomas were identified. All cardiac tumors resected were confirmed as myxomas on histopathological examination. Ninety-six patients presented with left-side myxomas (94 leftatria and two left-ventricle) and 12 with right-side myxomas (11 right-atria, one right-ventricle); 78 of the tumors were capsulated, and 30 were sessile-papillary. The mean dimensions were 37 ±6.1 mm on the left side and 41 ±6.7 mm on the right side. Surgical excision was successful in all cases, with 25% requiring interatrial septum patch repair. Recurrence occurred in 2.77% of the patients. Multivariate logistic regression showed chronic kidney disease (CKD) (OR: 7.96, 95% CI: 1.469-43.125, p=0,016) to be an independent predictor for five-year mortality. The mean follow-up period was 7.13 ±2.965 years, and the Kaplan-Meier curve cumulative proportion survival of patients at five years and 10 years were 100% and 88.8%, respectively. There was no statistically significant difference in late-term survival between patients with and without CKD in the Cox proportion-adjusted survival curve (p=0.275). ConclusionsPatients with myxomas have a good long-term prognosis following surgical resection. The multivariate logistic regression showed CKD to be an independent predictor of five-year mortality.

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“…This highlights the importance of the echocardiogram in describing the morphologic characteristics of these tumors, which predicts patients at higher risk of having an embolic complication and those who may require surgery as soon as possible after diagnosis. Even small and nonmobile cardiac myxomas with a round regular shape may cause recurrent cerebral infarction [17] .…”

Section: Discussionmentioning

confidence: 99%

Echocardiographic and Clinical Features in Diagnosis of Rare Cardiac Myxomas

yanhua¹,

Ma²,

Wei³

et al. 2021

Preprint

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Background: Cardiac myxoma(CM) is a rare cardiac disease, with the majority located in the left atrium and less commonly in the right atrium, right ventricular, biatrial, left ventricular, right ventricular outflow tract or heart valves. These rare CMs need to be distinguished from other masses. The purses of our study is to provide important value in finding the extra-atrial tumor and making the correct diagnosis by reviewed echocardiographic and clinical features of five rare CMs. Methods: We reviewed medical records and echocardiographic data in all patients with surgery diagnosis of rare CMs from January 2019 to June 2020 in the second affiliated hospital, Xi’an Jiaotong University. Results: Five patients were enrolled in our study. The sites of CMs were rare and located separately on RV, PV, LV, LA and LVOT, LA. Four cases was myxomas and one was lipoma. Five patients recovered well after operation. Conclusions: Cardiac tumors developed in unusual locations should be considered to exclude the possibility of myxoma. Subheadings: Echocardiographic of rare Cardiac Myxomas

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Small, smooth, nonmobile cardiac myxoma detected by transesophageal echocardiography following recurrent cerebral infarction: a case report

Cited by 5 publications

References 16 publications

Metastatic lesions of atrial myxoma. A pathologist can clinch them all

Metastatic lesions of atrial myxoma. A pathologist can clinch them all

Predictors of Late Mortality in Patients With Surgically Resected Cardiac Myxomas: A Single-Center Experience

Echocardiographic and Clinical Features in Diagnosis of Rare Cardiac Myxomas

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