Left Atrial Myxoma With Atypical Echocardiographic Features

Document Type : Case Report

Authors

1 Echocardiography and Cardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

2 Cardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

3 Shariati Hospital, Tehran University of Medical Sciences, Tehran, IR Iran.

4 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

5 Department of Internal Medicine, School of Medicine Hematology-Oncology and Stem Cell Transplantation Research Center Shariati Hospital Tehran University of Medical Sciences, Tehran, IR Iran.

Abstract

Accurate diagnoses of cardiac masses constitute a challenge to the cardiologist. Echocardiography plays an essential role, but differentiating between benign and malignant masses that may mimic the features of each other may not be easy by echocardiography. Myxomas are primary benign tumors of the heart with typical echocardiographic features that are generally found in certain locations in the heart. Nonetheless, they are occasionally found in atypical locations in the heart chambers and echocardiographic features mimicking malignant tumors. Myxomas may present with obstructive, embolic, and constitutional symptoms, or they might be found incidentally based on the tumor size and location. Herein, we describe a 78-year-old man with a cardiac mass with echocardiographic features inconsistent with a benign tumor, although further evaluation confirmed it as a myxoma. Benign or malignant cardiac masses could mimic the typical imaging features of each other, and the diagnosis should be based on pathologic findings. (Iranian Heart Journal 2022; 23(1): 233-236)

Keywords

References

  1. Hoffmeier A, Sindermann JR, Scheld HH, Martens S. Cardiac tumors—diagnosis and surgical treatment. Deutsches Ärzteblatt International. 2014 Mar; 111(12):205.
  2. Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF. Braunwald's Heart Disease E-Book: A Textbook of Cardiovascular Medicine. Elsevier Health Sciences; 2018 Jan 9.
  3. Sadeghpour A, Alizadehasl A. The right ventricle: a comprehensive review from anatomy, physiology, and mechanics to hemodynamic, functional, and imaging evaluation. Arch Cardiovasc Imaging. 2015 Nov 1; 3(4):e35717.
  4. Cohen R, Singh G, Mena D, Garcia CA, Loarte P, Mirrer B. Atrial myxoma: a case presentation and review. Cardiology Research. 2012 Feb; 3(1):41.
  5. Kalçık M, Bayam E, Güner A, Küp A, Kalkan S, Yesin M, Gürsoy MO, Gündüz S, Karakoyun S, Özkan M. Evaluation of the potential predictors of embolism in patients with left atrial myxoma. Echocardiography. 2019 May; 36(5):837-43.
  6. Yoo M, Graybeal DF. An echocardiographic-confirmed case of atrial myxoma causing cerebral embolic ischemic stroke: a case report. Cases Journal. 2008 Dec 1; 1(1):96.
  7. Keeling IM, Oberwalder P, Anelli-Monti M, Schuchlenz H, Demel U, Tilz GP, Rehak P, Rigler B. Cardiac myxomas: 24 years of experience in 49 patients. European journal of cardio-thoracic surgery. 2002 Dec 1; 22(6):971-7.
  8. Kawall J, Seecheran R, Seecheran V, Persad S, Maharaj S, Seecheran NA. Medical management of a suspected atrial myxoma in a nonagenarian. SAGE Open Medical Case Reports. 2020 Jul;8:2050313X20933484.
  9. Vasquez A, Sethi G, Maximov M, Marcus FI. Atrial myxomas in the elderly: a case report and review of the literature. The American journal of geriatric cardiology. 2004 Jan; 13(1):39-44.
  10. Kim JT, Baek WK, Kim KH, Yoon YH, Kim DH, Lim HK. A primary cardiac sarcoma preoperatively presented as a benign left atrial myxoma. Yonsei medical journal. 2003 Jun 1; 44(3):530-3.
Iranian Heart Journal
Volume 23, Issue 1
January 2022
Pages 233-236

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