Angiographic visualization of ‘tumour vascularity’ in atrial myxoma

Chow, Wing‐Hing; Chow, Tsun‐Cheung; Tai, Yau-Ting; Yip, Adrian Y S; Cheung, King‐Loong

doi:10.1093/oxfordjournals.eurheartj.a059829

Cited by 22 publications

(19 citation statements)

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“…Review of the first coronary angiography showed a single-vessel disease with a thrombus-like formation in the proximal third of the LAD coronary artery. This lesion still present on the angiography 3 years later, From our experience and the data published by Fueredi et al [14] and Chow et al [15], the prevalence of angiographically visible neovascularity in symptomatic cardiac myxomas is about 40 percent (15 of 37 patients).…”

Section: Discussionsupporting

confidence: 56%

Coronary angiography in cardiac myxomas: Findings in 19 consecutive cases and review of the literature

Cleemput¹,

Daenen²,

Geest³

1993

Cathet. Cardiovasc. Diagn.

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We reviewed the coronary angiographic findings of 19 patients with a cardiac myxoma, who underwent cardiac catheterization before surgery. Seventeen myxomas were localized in the left atrium and seven had angiographically visible tumor vascularity emerging from atrial branches of the right coronary artery in four patients and the circumflex coronary artery in three. In one patient, we found significant coronary artery disease of the circumflex coronary artery and in another we saw a thrombus-like lesion in the proximal third of the left anterior descending coronary artery. Our results are compared with the findings in two smaller groups of patients with cardiac myxoma who underwent coronary angiography preoperatively. We conclude that the major importance of coronary angiography in patients with cardiac myxomas is to exclude concomitant coronary artery disease before surgery. In a very small minority of patients, a selective coronary angiography is the clue to the diagnosis of cardiac myxoma.

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Section: Discussionsupporting

confidence: 56%

Coronary angiography in cardiac myxomas: Findings in 19 consecutive cases and review of the literature

Cleemput¹,

Daenen²,

Geest³

1993

Cathet. Cardiovasc. Diagn.

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“…To the best of our knowledge, there are only five studies in the literature investigating the relationship between CAD and myxoma [8, 9, 13, 14, 15] (table 4). Most of those studies showed prevalence rates of CAD in myxoma patients of 0–11%, and only the study performed by Fueredi et al [9]yielded a very high (6/9, 66.7%) rate.…”

Section: Discussionmentioning

confidence: 99%

Role of Coronary Angiography in Myxoma Patients: A 14-Year Experience in One Medical Center

Liau

et al. 1999

Cardiology

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Cardiac myxoma is the most common form of primary heart tumor and often treated with surgical resection without a preoperative angiographic examination for fear of potential risk of sudden death. During the last 14 years, 24 of 38 patients with myxoma underwent coronary angiography. Coronary artery disease (CAD) and other abnormalities were found in 5. Our findings indicated that CAD is not uncommon among the myxoma patients, and coronary angiography should be performed preoperatively in all cases.

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“…Coronary angiography is sometimes helpful in visualizing the vascular supply of the neoplasm and the relation of the neoplasm to the coronary arteries. The angiographic sign of 'tumor vascularity' was found to be present in some patients with highly vascularized atrial myxomas [55,56]. The vascular pattern is not helpful, however, in differentiating benign from malignant tumors.…”

Section: Angiographymentioning

confidence: 99%

Heart and tumors: location, metastasis, clinical manifestations, diagnostic approaches and therapeutic considerations

Ekmektzoglou

Samelis²,

Xanthos³

2008

Journal of Cardiovascular Medicine

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Cardiac neoplasms, whether primary or secondary, are more and more easily diagnosed in the present era. For the primary heart tumors, myxomas and sarcomas constitute the most common neoplasms, whereas for the secondary ones, lung cancer constitutes the most common primary location. Cardiac neoplasms may involve the endocardium, the myocardium, the epicardium, the valves or any combination of these. Their clinical manifestations are not specific and depend on their anatomic location and size. Diagnosis of cardiac neoplasms has become more feasible with the use of echocardiography and other imaging techniques (computed tomography and magnetic resonance). The major problem, however, still remains that most diagnoses are late, especially for malignant tumors. For resectable tumors, surgery remains the mainstay of treatment, whereas for metastatic disease palliative treatment remains the only therapeutic option. This paper reviews the types of heart tumors, their clinical symptoms, the diagnostic approaches and the therapeutic tools used by physicians.

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Angiographic visualization of ‘tumour vascularity’ in atrial myxoma

Cited by 22 publications

References 0 publications

Coronary angiography in cardiac myxomas: Findings in 19 consecutive cases and review of the literature

Coronary angiography in cardiac myxomas: Findings in 19 consecutive cases and review of the literature

Role of Coronary Angiography in Myxoma Patients: A 14-Year Experience in One Medical Center

Heart and tumors: location, metastasis, clinical manifestations, diagnostic approaches and therapeutic considerations

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