Cardiac Varix in Relation to Right Atrial Free Wall Presenting as a Mass Compressing the Right Atrium and Mimicking a Pericardial Cyst

Oomman, Abraham; Ramachandran, Padmakumar; Santhosham, Rajan; Sridhar, Louis Felix; Ramesh, Binu; Jayaraman, Samy

doi:10.1016/j.athoracsur.2003.12.070

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…They are situated in the lower part of the interatrial septum and rarely exceed 20 mm in diameter. However, in this case, a large cardiac varix (80 × 65 × 55 mm) was found in relation to the right atrial free wall, presenting as a mass compressing the right atrium [5]. Rasmussen et al [6] reported that a cardiac varix supplied by atrial branches of both the right and left coronary arteries made it more likely that the lesion was an arteriovenous malformation rather than a venous varicosity.…”

Section: Discussionmentioning

confidence: 66%

Cardiac varix in the right atrium

Shiraishi

Kimura

Yamaguchi

et al. 2012

Interactive CardioVascular and Thoracic Surgery

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A 73-year old man underwent transthoracic and transoesophageal echocardiography and computed tomography, which revealed what appeared to be an asymptomatic primary mobile tumour located in the right atrium. During surgery, the mass was found to be associated with the right atrial septum and was subsequently resected. Histopathology of the mass revealed a cardiac varix with phleboliths. The patient had an uneventful postoperative course and no signs of recurrence at the 10-month follow-up.

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Section: Discussionmentioning

confidence: 66%

Cardiac varix in the right atrium

Shiraishi

Kimura

Yamaguchi

et al. 2012

Interactive CardioVascular and Thoracic Surgery

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“…Secondary tumors can reach the heart through the inferior vena cava and invade the right atrium as solid masses, such as renal and hepatocellular carcinoma, uterine leiomyoma or Wilms tumors [1]. Among right atrial masses, right atrial cysts are rare and may represent hydatid, blood, bronchogenic cysts, cardiac varices or right coronary artery aneurysms [1,9,10]. Based on the appearance and location of the right atrial cysts, echocardiography helps in the differential diagnosis as follows:…”

Section: Discussionmentioning

confidence: 99%

Cystic appearance of low-grade endometrial stromal sarcoma in the right atrium: case report

Wood

Sederberg

Russ

et al. 2011

Cardiovasc Ultrasound

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A 71-year-old woman presented with a right adnexal solid mass invading the right gonadal vein and inferior vena cava up to the hepatic veins revealed by CT and confirmed by MRI. A thin-walled cyst and a solid mass were unexpectedly found in the right atrium by transesophageal echocardiography (TEE) in the operating room. Using color Doppler and air bubbles as contrast material a circumscribed cyst was confirmed and localized close to the IVC. The cyst was connected to the mass in the inferior vena cava. The tumor, including the cyst, was removed without using cardiopulmonary bypass and described as a low-grade endometrial stromal sarcoma, a rare slowly growing tumor. This is the first TEE description of endometrial stromal sarcoma manifesting as a right atrial cyst.

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“…It consists of dilated venous channels and can be associated with intraluminal thrombi or phleboliths 2 . While the majority of cardiac varices are less than 2 cm in size, 3 Oomman et al recently reported a case of a massive 8‐cm varix attached to the right atrial free wall 4 . Varices of the heart have been described in the pathology literature since the late 19th and early 20th century 2 .…”

Section: Discussionmentioning

confidence: 99%