Calcified Amorphous Tumor of the Heart with Purple Digit

Abstract

A calcified amorphous tumor (CAT) of the right atrium (RA) is an exceedingly rare non-neoplastic cardiac mass. It was initially described in 1997 and only a handful of cases has been published so far. We present a case of tumor in 77-year-old male, in the RA that attached to the rim of the fossa ovalis, with classic pathological and clinical findings. Under cardiopulmonary bypass (CPB) and bicaval and aortic cannulation and cardioplegic arrest, right atrial mass, was resected and septal defect was repaired with a fresh pericardial patch. Pathological exam of the mass revealed CAT. The patient had an uneventful hospitalization and his blue discoloration of finger recovered normally.

The “MAC” Attack: When Mitral Annular Calcification Goes Rogue! A Case Series of Mobile Mitral Annular Calcifications

“…On the basis of limited available data, the prognosis is good after complete removal of the mass, with only one documented recurrence in a patient who underwent incomplete resection of the tumor. 2 , 13 , 14 …”

A Case of Cardiac Calcified Amorphous Tumor Presenting with Concomitant ST-Elevation Myocardial Infarction and Occipital Stroke and a Brief Review of the Literature

“…Therefore, no coronary intervention or aspiration was performed. The prognosis is generally good after complete removal of the mass lesion [ 15 , 16 ]. The only recurrence was reported in a patient who received incomplete resection of the tumor [ 17 ].…”

Cardiac Calcified Amorphous Tumor of the Mitral Valve Presenting as Transient Ischemic Attack

“…Thus, differentiation between various types of cardiac masses, such as myxomas or fibroma, calcified thrombi, emboli, vegetation, and other intracardiac tumors may be difficult. The most common symptoms of these masses are progressive dyspnea, chest pain, syncope, and symptoms related to embolism [ 2 , 3 , 5 ]. Rarely, they may also present with cardiac arrhythmias such as ventricular tachycardia [ 3 ].…”

“…The clinical features of cardiac CAT are usually like the other cardiac masses which include the symptoms related to obstruction or embolization such as dyspnea and syncope. Thus, it may be misdiagnosed with other cardiac tumors [ 2 , 3 ]. Accurate diagnosis of a cardiac mass is often made on surgical excision and histopathological examination [ 1 – 3 ].…”