Bilateral Atrial Myxomas Diagnosed by Echocardiography

Gustafson, A.; Edler, Inge; Dahlbäck, Olov K.

doi:10.1111/j.0954-6820.1977.tb15718.x

Cited by 12 publications

(1 citation statement)

References 24 publications

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“…When hypersedimentation, anemia and hyperglobulinemia occur associated with fever, loss of weight, Raynaud's phenomenon or joint pains, the primary significance of cardiac manifestations may be neglected and a diagnosis of mesenchymosis or rheumatic fever consequently suspected (patient 3) (7,13,25). Likewise, the combination of cardiac signs and symptoms and constitutional manifestations may suggest a diagnosis of myocarditis or cardiomyopathy (patients 2, 3) (21).…”

Section: Discussionmentioning

confidence: 99%

The Diagnostic Challenge of Left Atrial Myxoma

Berning

Egeblad

Lauridsen

et al. 1979

Journal of Internal Medicine

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Left atrial myxomas are extremely difficult to diagnose since their variable manifestations mimic a host of clinical entities more commonly seen, e.g. mitral stenosis, endocarditis, rheumatic fever, cardiomyopathy or mesenchymosis. At the same time, early diagnosis followed by prompt surgical removal are mandatory to prevent mutilating or lethal complications of the tumor. Six cases of left atrial myxoma were diagnosed in our hospital during 2 1/2 years. We present the case histories, diagnostic procedures and surgical findings, consolidating the unique role of echocardiography in detecting left atrial myxomas. We propose the use of echocardiography as a screening examination for atrial myxomas in the following settings: suspected mitral obstructive disease, suspected endocarditis with negative blood cultures, peripheral embolism or thrombosis in young patients, unexplained cardiac failure and mesenchymosis with uncharacteristic presentation.

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Section: Discussionmentioning

confidence: 99%

The Diagnostic Challenge of Left Atrial Myxoma

Berning

Egeblad

Lauridsen

et al. 1979

Journal of Internal Medicine

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Imaging procedures in the detection of cardiac tumors, with emphasis on echocardiography: A review

Bogren

DeMaria

Mason

1980

Cardiovasc Intervent Radiol

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Although cardiac tumors are relatively rare, their diagnosis is important because successful treatment is usually feasible if the diagnosis is made preoperatively. An analysis of 219 reports of cardiac tumors described in the English literature from 1972 through 1977 demonstrated the predominance of benign tumors, in particular myxoma, which is in agreement with past reviews. The methods of diagnosis employed included plain chest films, echocardiography, cardiac catheterization, angiocardiography, and cardiac scintigraphy. Conventional x-ray examination of the chest was abnormal in 83% of cardiac tumors but non-specific and should lead to further evaluation, first by echocardiography. Echocardiography, the most efficient diagnostic procedure for screening possible cardiac tumors, was abnormal in 94% of the cases. Cardiac catheterization was abnormal in 80% of cardiac tumors while definitive detection was made by angiocardiography in 94% of the cases. Cardiac scintigraphy has had limited use in the diagnosis of cardiac tumors, but has been diagnostic in 100% of the cases in a small series of myxomas.

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