Mobile Left Atrial Mass-Clot or Left Atrial Myxoma

Nagre, Suraj Wasudeo

doi:10.35841/medical-oncology.1.3.94-96

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…In one large series, 5 percent developed recurrent myxoma, suggesting the need for careful follow-up. Development of a second primary myxoma may be more common in patients with a family history of myxoma as described by Nagre et al in one study [8].…”

Section: Treatment and Prognosismentioning

confidence: 71%

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Cardiac Myxomas - Symptomology, Investigations and Surgical Treatment - Single Centre Experience of Fifteen Years at Grant Medical College, Mumbai, Maharashtra

Nagre¹,

Bhosle²

2018

J Cardiovasc Med Cardiol

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Introduction: The aim of study is to describe the clinical symptoms, investigation fi ndings and surgical treatment of cardiac myxomas. Method: From May 2002 to May 2017, 50 patients of primary or recurrent intracardiac myxoma underwent surgical excision at our institute. Their age ranged from 25 years to 55 years. Out of which 20 males and 30 females. Commonest presenting symptoms are dyspnea and palpitation. 35 Left atrial, 13 Right atrial, one right ventricular and one left ventricular myxoma. The diagnosis was done by transthoracic and transesophageal echocardiography. The complete wide excision with margin of 3-5 mm normal surrounding tissue was the main principle of surgery. Right atriotomy, right ventricular and left ventricular surgical approach was used. Post-operative echocardiogram was done in all patients before discharge. Maximal follow-up of fi ve years and minimum follow-up of 6 months was done after surgery. Results: No mortality. On followup after fi ve years of surgery, all patients were in NYHA class 1 and their echocardiography showed good ventricular function with normal pulmonary artery pressure with patch in situ. One of patient right atrial myxoma developed left atrial myxoma after fi ve years of fi rst surgery that also excised. Conclusion: We recommend right atriotomy approach for both right and left atrial myxomas. Right ventricle approach for right ventricular myxoma and left ventricular for left ventricular myxoma. Biatrial approach in large and unusually located left atrial myxoma. To prevent recurrence the surgical excision must include a substantial portion of normal surrounding tissue near the base of implantation. With proper surgical technique no mortality and recurrence with complete recovery.

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Section: Treatment and Prognosismentioning

confidence: 71%

“…Echocardiography images both the myocardium and the cardiac chambers can usually identify the presence of a mass. In addition, echocardiography may provide information about any obstruction to the circulation, as well as the likelihood that the tumor could be a source of emboli [6].…”

Section: Discussionmentioning

confidence: 99%

Cardiac Myxomas - Symptomology, Investigations and Surgical Treatment - Single Centre Experience of Fifteen Years at Grant Medical College, Mumbai, Maharashtra

Nagre¹,

Bhosle²

2018

J Cardiovasc Med Cardiol

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“…2 But at the same time studies show that nearly every fifth MS has a clot in the left atrium (LA). 3 Thrombus formation in the LA is generally considered to be secondary the atrial fibrillation, atrial size or properties of wall surface that occur either alone or in combination with abnormalities of MV. 4 Wallach et al reported LA thrombi in 36% of patients on autopsy of 296 patients with moderate or severe rheumatic MS. 5 TTE has its own limitations for the diagnosis of LA thrombi 2 which could have deleterious effect on the outcome of the procedure frequently causing thromboembolic events.…”

Section: Introductionmentioning

confidence: 99%

Transesophageal Echocardiographic Assessment of Left Atrial Thrombus in Patients of Rheumatic Severe Mitral Stenosis With Negative Result on Transthoracic Echocardiography

Akhtar¹,

Farid²,

Hashmi³

et al. 2021

Pak Heart J

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Objective: The objective of the study was to assess the frequency of clot in left atrium by transesophageal echocardiographic diagnostic procedure (TEE) in patients with rheumatic severe mitral stenosis (MS) in those patients in whom transthoracic echocardiographic diagnostic procedure (TTE) did not observe any clot in left thrombus. Methodology: The descriptive cross-sectional study was carried out on 369 patients with rheumatic severe MS. Patients having mitral valve are of 1.5 cm2 or less planned for PMV were included in study. Non-cooperative patients were excluded. It was decided to do TEE on a similar day before the intervention to assess LA thrombus. Results: The mean age of the included patients was 45.65 ±11.54 years. There were 122 (33.1%) male patients and 247 (66.9%) female patients. In this study, clot in LA was diagnosed in 29.5% patients having negative TTE. LA clot was found in 33 male patients (30.3%) and 76 female patients (69.7%). Conclusion: There is a high risk of missing LA thrombus on transthoracic echocardiography, therefore we recommend performing TEE in patients with normal TTE study before the procedure.

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Mobile Left Atrial Mass-Clot or Left Atrial Myxoma

Cited by 2 publications

References 8 publications

Cardiac Myxomas - Symptomology, Investigations and Surgical Treatment - Single Centre Experience of Fifteen Years at Grant Medical College, Mumbai, Maharashtra

Cardiac Myxomas - Symptomology, Investigations and Surgical Treatment - Single Centre Experience of Fifteen Years at Grant Medical College, Mumbai, Maharashtra

Transesophageal Echocardiographic Assessment of Left Atrial Thrombus in Patients of Rheumatic Severe Mitral Stenosis With Negative Result on Transthoracic Echocardiography

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