Multicentric Biatrial Myxoma in a Young Female Patient : Case Report

Yoon, Sang Jeong; Park, Soon Chang; You, Yun Pyo; Kim, Bum Yong; Kim, Myong Kon; Jeong, Kyung Tae; Lee, Jae Won

doi:10.3904/kjim.2000.15.3.236

Cited by 4 publications

(4 citation statements)

References 13 publications

(19 reference statements)

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“…This differs from the case we describe above, where one sizable mass grew from one atrium via an ASD into the opposite side of the heart. 4 , 7 …”

Section: Discussionmentioning

confidence: 99%

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Gigantic biatrial myxoma in a young female with an atrial septal defect: a case report

Radner,

Grefen,

Dashkevich

et al. 2024

European Heart Journal - Case Reports

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Background Myxomas are uncommon and benign cardiac neoplasms that can present with various cardiac, systemic, embolic or without symptoms depending on their location and size. Very few cases of large, truly biatrial or tumours connected via the cardiac atria have been reported throughout the years. Case summary We present an unusual case of an apparently healthy 25-year-old French woman, who presented with dyspnoea at Munich's Octoberfest. Echocardiography and computed tomography identified gigantic masses in left and right atrium, which were connected through an atrial septal defect. They were successfully removed by emergent cardiac surgery. Discussion This case describes an uncommon tumour and highlights the importance of a quick diagnosis and prompt surgery. We describe the management and surgery for atrial myxomas as well as demonstrating pre- and intraoperative pictures.

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“…This differs from the case we describe above, where one sizable mass grew from one atrium via an ASD into the opposite side of the heart. 4 , 7 …”

Section: Discussionmentioning

confidence: 99%

“…Early diagnosis and surgical excision are essential in order to prevent embolization and sudden death. 2 , 4 …”

Section: Introductionmentioning

confidence: 99%

Gigantic biatrial myxoma in a young female with an atrial septal defect: a case report

Radner,

Grefen,

Dashkevich

et al. 2024

European Heart Journal - Case Reports

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“…An LA mass after excision of LA myxoma has been described due to residual 2 or additional masses, such as biatrial, 3 as well as multicentric 4 myxomas or a thrombus. Another common mimic is an inverted LA appendage, which usually everts and disappears with cardiac filling.…”

Section: Discussionmentioning

confidence: 99%

Left Atrial Dissection and Rupture Following Excision of Left Atrial Myxoma: Role of Transesophageal Echocardiography

Niyogi

Kumar

Singh

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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Left atrial mass after excision of a left atrial myxoma may occur due to residual or additional masses, such as biatrial or multicentric myxomas and inverted left atrial appendage. In this E-challenge, the authors present a case where intraoperative transesophageal echocardiography allowed visualization of a left atrial mass after excision of a left atrial myxoma. Detailed examination demonstrated that the mass was due to left atrial dissection that progressed to rupture, allowing its early detection and repair. A high index of suspicion, as well as coordination between the surgeon and the perioperative echocardiographer, played a crucial role in the detection and management of this complication.

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“…In our patients, the location of the myxoma was in the left atrium in 17 patients (81%) and right atrium in 4 patients (19%) with no reported ventricular or multicentric myxoma. In the literature, few cases of multicentric non-familial bi-atrial myxoma were reported [11][12][13][14]. Additionally, ventricular locations of the myxoma were reported rarely in other case series.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Myxomas: A single center experience and ten-years follow up

Mohamed

Ghaffar

Abdelaal

et al. 2019

Egypt. Cardiothoracic. Surg.

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Background: Cardiac myxoma is a benign tumor that carries the risk of embolization and obstruction of the blood flow. The ideal surgical approach is still debatable. We present our experience in the surgical treatment of cardiac myxomas and its ideal surgical approach. Methods: We retrospectively analyzed the data for all patients who underwent surgical excision of cardiac myxoma at our institution over 11 years starting from January 2006 to December 2016. Descriptive statistics were used to present preoperative, operative and postoperative data and Kaplan Meier curve to plot long-term survival. Results: Twenty-one patients had surgical excision of a primary, single and sporadic cardiac myxoma. Thirteen patients (62 %) were females, and the mean age at operation was 55.2 years (range: 28 -71 years). The location of myxomas was in the left atrium in 17 patients (81%) and right atrium in 4 patients (19 %). Dyspnea was the main presenting symptom (71.4%) followed by constitutional symptoms (28%), palpitations (23.8%), syncope (14.2%) and stroke (14.2%). A right atrial trans-septal incision was used in 76.5% of left atrial myxoma cases. Five patients had concomitant operative procedures (coronary artery bypass grafting (n=2), tricuspid valve repair (n=1), mitral valve replacement (n=1) and bullectomy (n=1)). Postoperative complications were reported in six patients (28.6%) (supraventricular arrhythmia (n=2), temporary conduction deficit (n=2), pulmonary atelectasis (n=1), and postoperative bleeding (n=1)). Early postoperative mortality occurred in one patient (4.76 %), and there were no late deaths related to myxoma. Conclusion: Surgical treatment of cardiac myxoma is safe with low morbidity and mortality. The right atrial trans-septal incision is the recommended surgical approach.

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Multicentric Biatrial Myxoma in a Young Female Patient : Case Report

Cited by 4 publications

References 13 publications

Gigantic biatrial myxoma in a young female with an atrial septal defect: a case report

Gigantic biatrial myxoma in a young female with an atrial septal defect: a case report

Left Atrial Dissection and Rupture Following Excision of Left Atrial Myxoma: Role of Transesophageal Echocardiography

Cardiac Myxomas: A single center experience and ten-years follow up

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