Giant obstructive left atrial myxoma resembling mitral valve stenosis

Avakian, Solange Desirée; Takada, Julio Yoshio; Mansur, Antônio de Pádua

doi:10.6061/clinics/2012(07)25

Cited by 8 publications

(6 citation statements)

References 8 publications

(9 reference statements)

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“…which passed the mitral valve to the middle of the ventricle with obstruction of the ventricle's inlet tract. The myxoma was surgically removed [9].…”

Section: Discussionmentioning

confidence: 99%

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Auricle Myxoma, Evidence from the Clinic to Cardiovascular Emergency Surgery, Triad: Cardiac, Systemic, Embolic

Crespo VJ,

Valverde A M

2023

J Pulmonol Res Rep

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Cardiac tumors are infrequent, primary tumors, such as atrial myxoma, are estimated at 000017 to 0.13% of all cardiac neoplasms, postmortem records, n relation to its frequency, it is more than the other primary ones, in 67% the left atrial myxoma, 23% in the right atrium and less frequent the biaurals left. age group from 30 to 60 years, more in the female sex, in the childhood is more related to alterations in skin lentiginosis, nevi as Carney.autosomica dominant síndrome. In genetic studies, alterations in the PRKAR1A gene on chromosome 17 are found. We present the case of a patient with a request for pre-surgical evaluation, urological prolapse of the bladder, with systemic manifestations, weight loss, chronic anemic syndrome treated with vitamins and trace elements, by a private physician, without remission. It is worth mentioning that the physical and cardiovascular examination revealed semiotic onygomatic seizures of Duroziez in the mitral area, with auscultatory changes in the left lateral decubitus position, for which reason I propose the diagnosis of mitral valvular heart disease vs atrial myxoma, with 2 elements of clinical judgment of the classic triad of myxoma, in the performance of the transcutaneous echocardiogram, a cardiac mass was observed, at the level of the left atrium, spherical, of 5.5 cmt diameter, hyperechogenic. Great mobility in cycles cardiac, prolapse of the mitral valve in diastole with stenosis, the emergency consultation was made to cardiovascular surgery in a hospital of greater complexity, a procedure with complete excision of the tumor of approx 12 cmt by 5.5 cmt diameter, with satisfactory evolution of the patient

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“…which passed the mitral valve to the middle of the ventricle with obstruction of the ventricle's inlet tract. The myxoma was surgically removed [9].…”

Section: Discussionmentioning

confidence: 99%

“…The sensitivity of transthoracic echocardiography for the diagnosis of myxomas is close to 95% and that of transesophageal echocardiography is 100%. The case presented only required transthoracic echocardiography to make an accurate diagnosis and this was sufficient to perform the patient's surgical intervention [1,9].…”

Section: Discussionmentioning

confidence: 99%

Auricle Myxoma, Evidence from the Clinic to Cardiovascular Emergency Surgery, Triad: Cardiac, Systemic, Embolic

Crespo VJ,

Valverde A M

2023

J Pulmonol Res Rep

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“…For leiomyosarcoma the mean survival after surgery and adjuvant therapies is 6.8 months. 7 An optimal treatment regimen has yet to be defined.…”

Section: Gluteal Leiomyosarcoma: a Rare Cause Of Severe Mitral Stenosismentioning

confidence: 99%

Gluteal Leiomyosarcoma: A Rare Cause of Severe Mitral Stenosis

Green

Hoffman

Coleman

2018

Journal of Cardiothoracic and Vascular Anesthesia

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“…It has been thought that the increase in LA pressure causes transudative pleural effusion because of the mitral valve obstruction. 2 3 This presentation of pleural effusion and myxoma is rare and has only been reported in a few other case studies. 2 3 4 5 It remains crucial to consider differential diagnoses for transudative pleural effusion, including mitral valve obstruction by myxoma.…”

mentioning

confidence: 97%

“… 2 3 This presentation of pleural effusion and myxoma is rare and has only been reported in a few other case studies. 2 3 4 5 It remains crucial to consider differential diagnoses for transudative pleural effusion, including mitral valve obstruction by myxoma. We are documenting this case due to the patient’s exceptionally rare clinical presentation.…”

mentioning

confidence: 97%