1.An unusual presentation of atrial myxoma.
Shaemala ANPALAKHAN ; Dewi RAMASAMY ; Kin Sing FAN
Singapore medical journal 2014;55(10):e156-8
Myxomas are uncommon primary cardiac tumours that usually affect the left atrium. We herein report the case of a patient who presented with right heart failure and proteinuria, leading to the diagnosis of atrial myxoma. Surgical resection resulted in resolution of the patient's symptoms.
Adult
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Female
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Heart Atria
;
surgery
;
Heart Failure
;
diagnosis
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Heart Neoplasms
;
diagnosis
;
surgery
;
Humans
;
Myxoma
;
diagnosis
;
surgery
;
Proteinuria
;
diagnosis
2.Multicentric Biatrial Myxoma in a Young Female Patient.
Sang Jeong YOON ; Soon Chang PARK ; Yun Pyo YOU ; Bum Yong KIM ; Myong Kon KIM ; Kyung Tae JEONG ; Jae Won LEE
The Korean Journal of Internal Medicine 2000;15(3):236-239
We report a case of multicentric, biatrial cardiac myxoma in a 29-year-old female who complained of exertional dyspnea, abdominal distension and peripheral edema. Any other associated skin lesions, breast mass or endocrine disorder presenting complex form were not seen on her. Also, there was no contributory medical history, hypertension and diabetes mellitus. By using transthoracic echocardiography, we identified a biatrial myxoma attached to the interatrial septum. During surgical excision, we found a large right atrial myxoma with extension through the fossa ovalis into the left atrium and small myxoma attached to the right atrial free wall. After successful resection of interatrial septum and free wall, atrial septal defect was created during the resection and safely repaired by bovine pericardial patch.
Adult
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Case Report
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Echocardiography
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Female
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Heart Neoplasms/surgery*
;
Heart Neoplasms/pathology
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Heart Neoplasms/diagnosis
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Human
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Myxoma/surgery*
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Myxoma/pathology
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Myxoma/diagnosis
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Neoplasm Recurrence, Local
3.A mobile mass--a left atrial undifferentiated sarcoma mimicking myxoma: a case report.
Huan-zhang SHAO ; Xi-jun XIAO ; Peng ZHU ; Yong-jun QIAN ; Hong-sheng YUAN
Chinese Medical Journal 2008;121(14):1339-1341
Adolescent
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Diagnosis, Differential
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Echocardiography
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Female
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Heart Atria
;
diagnostic imaging
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Heart Neoplasms
;
diagnosis
;
metabolism
;
surgery
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Humans
;
Immunohistochemistry
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Myxoma
;
diagnosis
;
metabolism
;
surgery
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Sarcoma
;
diagnosis
;
metabolism
;
surgery
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Vimentin
;
analysis
4.Intracardiac Echocardiography to Guide Biopsy for Two Cases of Intracardiac Masses.
Kwang In PARK ; Mi Joo KIM ; Jin Kyung OH ; Jae Hwan LEE ; Jae Hyeong PARK ; Si Wan CHOI ; Jin Ok JEONG ; In Whan SEONG
Korean Circulation Journal 2015;45(2):165-168
Pathologic diagnosis of a cardiac mass is vital in determining the proper treatment modality. Open heart surgery or transesophageal echocardiography guided biopsy can be feasible methods to confirm the pathology. However, the former is highly invasive and both methods require general anesthesia. The introduction of intracardiac echocardiography (ICE) can provide good anatomic information of heart and does not require general anesthesia. In this report, we present two cases of cardiac tumors which were confirmed by percutaneous biopsy under the guidance of an ICE. The patients underwent cardiac biopsy without any complications.
Anesthesia, General
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Biopsy*
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Diagnosis
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Echocardiography*
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Echocardiography, Transesophageal
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Heart
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Heart Neoplasms
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Humans
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Ice
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Pathology
;
Thoracic Surgery
5.Echocardiography diagnose one case of infantile tricuspid myxoma.
Chuan-ju HOU ; Yu-hua CAO ; Dong-an DENG ; Xian-yang ZHU
Chinese Journal of Pediatrics 2004;42(7):553-553
Echocardiography
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methods
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Female
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Heart Neoplasms
;
diagnosis
;
surgery
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Humans
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Infant
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Myxoma
;
diagnosis
;
surgery
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Treatment Outcome
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Tricuspid Valve
;
physiopathology
;
surgery
6.Risk factors for postoperative recurrence of cardiac myxoma and the clinical managements: a report of 5 cases in one center and review of literature.
Wen-Bo SHENG ; Bei-Er LUO ; Yang LIU ; Hao ZHANG ; Liang-Jian ZOU ; Zhi-Yun XU ; Hai-Yan ZHANG ; Guang-Yu JI
Chinese Medical Journal 2012;125(16):2914-2918
BACKGROUNDRecurrence or metastasis of myxomas is not rare and can lead to malignancy. We aimed to analyze the risk factors for postoperative cardiac myxoma recurrence and to summarize its clinical characteristics, treatments and classification.
METHODSThe clinical data of 5 patients with recurrent cardiac myxoma were retrospectively analyzed and our clinical experience was summarized. Moreover, the relevant literatures were reviewed.
RESULTSAll the five cases of primary myxomas were derived from atypical positions. One patient had early distant metastasis, one had family history, and two suffered malignant recurrence. The recurrence interval was (2.30 ± 2.16) years and the recurrent tumors were all found in different chambers from those of the corresponding primary tumors. Re-operation was performed after recurrence. One patient died of heart failure after malignant recurrence, and the other 4 cases had satisfactory therapeutic outcomes after re-operations. Our experience advocated a clinical classification of "typical" and "atypical" cardiac myxoma, the typical myxomas referred to the tumors locating at the left atria, with single pedicle, rooted at or around the fossa ovalis, involving no genetic causes, and the atypical myxomas included the familial tumors, tumors stemming from multiple chambers, rooted in abnormal positions of the left atrium, with evident genetic mutation, or with malignant tendency.
CONCLUSIONSPostoperative follow-up is of vital importance for patients with myxomas characterized by multi-chamber distribution, early distant metastasis, atypical origin, and family history. Once recurs, re-operation is necessary and should be performed immediately.
Adult ; Aged ; Female ; Heart Neoplasms ; diagnosis ; surgery ; Humans ; Male ; Middle Aged ; Myxoma ; diagnosis ; surgery ; Retrospective Studies ; Risk Factors
7.A Case of the Hepatocellular Carcinoma during the Pregnancy and Metastasis to the Left Atrium.
Soon Woo NAM ; Jong Tae BAEK ; Sang Bum KANG ; Dong Soo LEE ; Jin Il KIM ; Se Hyun CHO ; Soo Heon PARK ; Joon Yeol HAN ; Byung Min AHN ; Jae Kwang KIM ; Kyu Won CHUNG
The Korean Journal of Hepatology 2005;11(4):381-385
A 28-year-old female with a pregnant state of 29th gestational week was admitted because of nausea and vomiting. MRI showed a huge hepatocellular carcinoma. At the 36th gestational week, a normal delivery was done. Surgery of hepatocellular carcinoma was done at 20 days after delivery. After 22 months from the operation, pulmonary metastasis was found and resection of lung mass was done. About 3 years after resection, a low attenuating nodule was detected in the left atrial chamber of heart. We report a case of hepatocellular carcinoma with metastatic lesions to lung and heart in a pregnant woman.
Adult
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Carcinoma, Hepatocellular/diagnosis/*secondary/surgery
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Female
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Heart Atria
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Heart Neoplasms/diagnosis/*secondary
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Humans
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Infant, Newborn
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Liver Neoplasms/diagnosis/*pathology/surgery
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Lung Neoplasms/diagnosis/secondary
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Pregnancy
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*Pregnancy Complications, Neoplastic/diagnosis
8.A case of papillary fibroelastoma in the left ventricle.
Joo Yong HYUN ; In Hyun JUNG ; Hyun Jong LEE ; Sook Jin LEE ; Jin Seok KIM ; Chan Young NA ; Young Moo RO
The Korean Journal of Internal Medicine 2013;28(1):89-93
Cardiac papillary fibroelastoma (CPF) is a rare and benign primary cardiac neoplasm of unknown prevalence. The incidence of CPF in the left ventricle is lower than that in other parts of the heart. A 65-year-old female was referred to our cardiology department for evaluation of a cardiac mass of the left ventricle. Transthoracic echocardiography revealed a 1.8 x 1.7 cm highly mobile round mass attached by a stalk to the apical inferior wall of the left ventricle with an echolucent area. The mass was successfully removed without any postoperative complications and was identified as a CPF.
Aged
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Biopsy
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Cardiac Surgical Procedures
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Echocardiography
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Female
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*Fibroma/diagnosis/surgery
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*Heart Neoplasms/diagnosis/surgery
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Heart Ventricles/pathology
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Humans
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Tomography, X-Ray Computed
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Treatment Outcome
9.One case of left atrial myxoma complicated with systemic multiple vascular thrombosis.
Xing-zhen SUN ; Xiang-yang TIAN ; Juan LIU
Chinese Journal of Pediatrics 2013;51(7):548-548
Brain Infarction
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diagnosis
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etiology
;
therapy
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Cerebral Angiography
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Child
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Echocardiography, Doppler, Color
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Heart Atria
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Heart Neoplasms
;
complications
;
diagnosis
;
surgery
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Humans
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Intracranial Embolism
;
diagnosis
;
etiology
;
therapy
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Male
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Myxoma
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complications
;
diagnosis
;
surgery
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Pulmonary Edema
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diagnosis
;
etiology
;
therapy
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Thrombosis
;
diagnosis
;
etiology
;
therapy
10.A Primary Cardiac Sarcoma Preoperatively Presented as a Benign Left Atrial Myxoma.
Joung Taek KIM ; Wan Ki BAEK ; Kwang Ho KIM ; Yong Han YOON ; Dae Hyuk KIM ; Hyun Kyoung LIM
Yonsei Medical Journal 2003;44(3):530-533
Primary cardiac sarcomas are extremely rare. We report a case of a primary cardiac sarcoma with myxoid change, which originally presented as a benign cardiac myxoma on a two- dimensional echocardiogram. On operating, the mass was found to extend into the posterior left atrial wall, the left pulmonary vein, and the mitral valve. The patient underwent wide resection of the left atrium, a mitral valve replacement and a left pneumonectomy. The histological diagnosis was of an undifferentiated primary cardiac sarcoma. The patient had postoperative chemotherapy. The patient expired 11 months after surgery due to a recurrence of the cardiac sarcoma. Although most tumors that develop in the left atrium are benign myxomas, we should make a preoperative differential diagnosis.
Adult
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Diagnosis, Differential
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Female
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Heart Atria
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Heart Neoplasms/*pathology/surgery/ultrasonography
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Human
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Intraoperative Period
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Myxoma/*pathology/ultrasonography
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Sarcoma/*pathology/surgery/ultrasonography