A right atrial mass

Shah, Zeel; Alraies, M. Chadi; Harp, Ameer; Khalil, Salam; Kaki, Amir; Elder, Mahir

doi:10.3949/ccjm.86a.18131

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…Particularly, the right atrium is a typical location for malignant cardiac tumors such as angiosarcoma, lymphoma and melanoma and for intracardiac metastases from RCC due to spread via the ICV. Chordoma commonly metastasizes to the right atrium[ 21 ]. Myxomas and lipomas are also typically localized to the atria, whereas rhabdomyosarcomas and lymphomas are commonly located in the ventricles and fibroelastomas are localized to the valves[ 22 ] (Figure 5 ).…”

Section: Discussionmentioning

confidence: 99%

Incidental right atrial mass in a patient with secondary pancreatic cancer: A case report and review of literature

Fioretti¹,

Leopizzi²,

Forgia³

et al. 2023

World J Clin Cases

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BACKGROUND The incidental detection of a right atrial mass during routine cardioncological workup is a rare condition. The correct differential diagnosis between cancer and thrombi is challenging. A biopsy may not be feasible while diagnostic techniques and tools may not be available. CASE SUMMARY We report the case of a 59-year-old female patient with a history of breast cancer and current secondary metastatic pancreatic cancer. She developed deep vein thrombosis and pulmonary embolism and was admitted to the Outpatient Clinic of our Cardio-Oncology Unit for follow-up. Transthoracic echocardiogram incidentally found a right atrial mass. Clinical management was difficult due to the abrupt worsening of the patient’s clinical condition and the progressive severe thrombocytopenia. We suspected a thrombus, according to its echocardiographic appearance, the patient’s cancer history and recent venous thromboembolism. The patient was unable to adhere to low molecular weight heparin treatment. Due to worsening prognosis, palliative care was recommended. We also highlighted the distinguishing features between thrombi and tumors. We proposed a diagnostic flowchart to aid diagnostic decision making in the case of an incidental atrial mass. CONCLUSION This case report highlights the importance of cardioncological surveillance during anticancer treatments to detect cardiac masses.

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Section: Discussionmentioning

confidence: 99%

Incidental right atrial mass in a patient with secondary pancreatic cancer: A case report and review of literature

Fioretti¹,

Leopizzi²,

Forgia³

et al. 2023

World J Clin Cases

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“…While many, but not all, cardiac masses on the left side of the heart are benign, a small subset of cases are malignant, mostly representing undifferentiated sarcomas with or without myxoid features. On the contrary, right-sided masses may suggest either metastatic disease or represent angiosarcomas [11]. Cardiac structures, which can appear as pseudotumors, are of differential diagnostic importance.…”

Section: Discussionmentioning

confidence: 99%

“…During clinical examination, auscultation may reveal a characteristic early diastolic "tumor plop" [11]. Pulmonary congestion is a typical presentation of masses invading the left atrium.…”

Section: Discussionmentioning

confidence: 99%

Rare Case Report: Left Atrial Sarcoma Obstructing the Left Ventricular Inflow

Kaemmerer,

Suleiman,

Agaimy

et al. 2023

JCM

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Malignant cardiac tumors of the heart are extremely rare and may present tremendous diagnostic and therapeutic challenges. These tumors are able to infiltrate the heart and metastasize systemically. Early detection is often elusive as the clinical presentation is highly variable, posing significant diagnostic and therapeutic difficulties. Despite a multidisciplinary approach, the prognosis for patients with malignant cardiac tumors remains guarded. Early diagnosis and a multidisciplinary approach involving cardiac surgeons, oncologists and critical care specialists are crucial in the management of this disease. Further research is needed to better understand the pathomechanisms of tumor-related complications and to develop effective treatment strategies to improve patient outcomes. The rare case of a 78-year-old woman with left atrial tumor requiring emergency surgery for acutely developing mitral valve obstruction is presented. Pathology confirmed an undifferentiated pleomorphic sarcoma. This patient tragically did not survive, highlighting the difficulties of managing such a rare and deceptive heart disease.

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A right atrial mass

Cited by 2 publications

References 6 publications

Incidental right atrial mass in a patient with secondary pancreatic cancer: A case report and review of literature

Incidental right atrial mass in a patient with secondary pancreatic cancer: A case report and review of literature

Rare Case Report: Left Atrial Sarcoma Obstructing the Left Ventricular Inflow

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