Abstract:A myxoma is one of the most common tumors in cardiac surgery, with most of them originating from the left or right atrial walls and causing embolic complications. An 84-year-old woman was referred to our institution after echocardiography showed an interatrial septum tumor that was presumed to be a thrombus; however, postoperative pathological examination revealed it to be a cardiac myxoma. This atypical myxoma was covered with a solid capsule containing connective tissue and substantial calcifications, which … Show more
“…Los mixomas suelen presentar un pedículo de unión al septo que también puede visualizarse en los trombos 7 . De hecho, en el caso 1, la presencia de pedículo junto con la localización de la masa, creo confusión a la hora de llegar al diagnóstico.…”
Se presentan dos casos de masas adheridas al septo interauricular en las que la sospecha diagnóstica inicial fue la de mixoma auricular. Sin embargo, a pesar de características iniciales que nos pueden llevar a confusión, la imagen multimodalidad permite realizar el diagnóstico diferencial y llegar al diagnóstico correcto de forma no invasiva.
“…Los mixomas suelen presentar un pedículo de unión al septo que también puede visualizarse en los trombos 7 . De hecho, en el caso 1, la presencia de pedículo junto con la localización de la masa, creo confusión a la hora de llegar al diagnóstico.…”
Se presentan dos casos de masas adheridas al septo interauricular en las que la sospecha diagnóstica inicial fue la de mixoma auricular. Sin embargo, a pesar de características iniciales que nos pueden llevar a confusión, la imagen multimodalidad permite realizar el diagnóstico diferencial y llegar al diagnóstico correcto de forma no invasiva.
“…Primary cardiac tumors are rare and approximately 90% of them are benign. Myxoma is the most common type of the benign tumor of the heart occurring in the left atrium in 75–85% of cases [ 2 , 3 ].…”
Section: Discussionmentioning
confidence: 99%
“…Approximately 90% of primary cardiac tumors are benign. The most common type of benign tumors of the heart is myxoma and occurs in the left atrium (LA) in 75–85% of cases [ 2 , 3 ]. They generally occur more in females and after the third decade of life [ 4 ].…”
Background
Primary cardiac tumors are rare, and approximately 90% of them are benign. Myxoma is the most common type of these tumors occurring in the left atrium in 75–85% of cases. The tumor can cause the left atrio-ventricular valve obstruction and embolization phenomenon.
Case presentation
We reported a case of 54-year-old man with complaints of dyspenea and amnesia. In our patient, transthoracic echocardiography revealed a mass of 28*63 mm attached to the upper intra-atrial septum, which was prolapsing through the mitral valve into the left ventricle during diastole, being indicative of the left atrial myxoma. On examination, he was alert and conversant, and no pathological abnormality was observed in the examination of cardiovascular, gastrointestinal, respiratory, hepatic, renal and nervous systems. After myxoma diagnosis, the tumor was removed under cardiac surgery and discharged under good conditions. In the telephone follow-up after discharge, the patient recovered and did not report the disease and surgery complications.
Conclusions
Patients with cardiac myxoma are usually asymptomatic, but they may have manifestations related to the embolism phenomenon or intracardiac obstruction. Therefore, myxoma may represent an emergency. Surgery should be performed as soon as possible. If surgery is delayed, the patient may suffer from serious and irreversible complications, such as stroke and cardiac arrest.
“…Cardiac myxoma is the most common tumor of the heart, with an estimated annual incidence of 0.5 per million population (4). Left atrial myxoma is the most common cardiac myxoma, with an incidence of 75%-85% (5,6). It usually happens to middle-aged people, but it can happen to people of any age.…”
ObjectiveTo use CiteSpace and VOSviewer visual metrology to analyze the research status, frontier hotspots, and trends in research on atrial myxoma.MethodsThe Web of Science core collection database was used to retrieve relevant literature on atrial myxoma from 2001 to 2022. CiteSpace software was used to analyze keywords with a co-occurrence network, co-polymerization class, and burst terms, and a corresponding visual atlas was drawn for analysis.ResultsA total of 893 valid articles were included. The country with the highest number of articles was the United States (n = 186). The organization with the highest number of articles was the Mayo Clinic (n = 15). The author with the highest number of articles was Yuan SM (n = 12). The highest cited author was Reynen K (n = 312). The highest cited journal was Annals of Thoracic Surgery (n = 1,067). The most frequently cited literature was published in the New England Journal of Medicine in 1995, which was cited 233 times. The keywords co-occurrence, copolymerization analysis, and Burst analysis revealed that the main research focuses were surgical methods, case reports, and genetic and molecular level studies on the pathogenesis of myxoma.ConclusionsThis bibliometric analysis revealed that the main research topics and hotspots in atrial myxoma included surgical methods, case reports, genetic and molecular studies.
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