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Med Sidi El Moctar E, El Hadj Sidi C, Abdulrazzak M, Ahmed Kamal M, Mohamed Ahmed MF, Boye K. Giant right atrial myxoma presented with symptoms of Budd-Chiari syndrome: a case report. Ann Med Surg (Lond) 2023; 85:4593-4596. [PMID: 37663686 PMCID: PMC10473319 DOI: 10.1097/ms9.0000000000001116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Accepted: 07/15/2023] [Indexed: 09/05/2023] Open
Abstract
Introduction and importance Right atrial myxoma is rarely associated with Budd-Chiari syndrome (BCS). In this paper, we present a case of a young patient with a giant right atrial myxoma complicated by the development of BCS. Case presentation A 26-year-old female presented to the emergency room with persistent abdominal pain, ascites, lower limb edema, and an acute episode of dyspnea. Abdominal computed tomography revealed a lesion in the right cardiac cavity that resembled an intracardiac thrombus. Transthoracic echocardiography showed a large heterogeneous mass in the right atrium protruding into the right ventricle and a large thrombus interfering with inferior vena cava flow. The patient underwent cardiac surgery to remove the atrial mass, and histopathologic examinations confirmed the diagnosis of atrial myxoma. Clinical discussion The right atrial myxoma is relatively rare, especially the giant ones. Rarely have intracardiac tumors such as giant right atrial myxoma been identified as a risk factor for the onset of BCS. Conclusion In the differential diagnosis of BCS, right atrial tumors, including myxomas, should be considered, especially when other explanations are absent.
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Affiliation(s)
| | | | | | | | | | - Khaled Boye
- Center National de Cardiology, Nouakchott, Mauritania
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Gao A, Yang J, Tian T, Wu Y, Sun X, Qi N, Tian N, Wang X, Wang J. Visual analysis based on CiteSpace software: a bibliometric study of atrial myxoma. Front Cardiovasc Med 2023; 10:1116771. [PMID: 37252126 PMCID: PMC10213645 DOI: 10.3389/fcvm.2023.1116771] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 04/24/2023] [Indexed: 05/31/2023] Open
Abstract
Objective To use CiteSpace and VOSviewer visual metrology to analyze the research status, frontier hotspots, and trends in research on atrial myxoma. Methods The Web of Science core collection database was used to retrieve relevant literature on atrial myxoma from 2001 to 2022. CiteSpace software was used to analyze keywords with a co-occurrence network, co-polymerization class, and burst terms, and a corresponding visual atlas was drawn for analysis. Results A total of 893 valid articles were included. The country with the highest number of articles was the United States (n = 186). The organization with the highest number of articles was the Mayo Clinic (n = 15). The author with the highest number of articles was Yuan SM (n = 12). The highest cited author was Reynen K (n = 312). The highest cited journal was Annals of Thoracic Surgery (n = 1,067). The most frequently cited literature was published in the New England Journal of Medicine in 1995, which was cited 233 times. The keywords co-occurrence, copolymerization analysis, and Burst analysis revealed that the main research focuses were surgical methods, case reports, and genetic and molecular level studies on the pathogenesis of myxoma. Conclusions This bibliometric analysis revealed that the main research topics and hotspots in atrial myxoma included surgical methods, case reports, genetic and molecular studies.
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Affiliation(s)
- Ang Gao
- Department of Internal Medicine-Cardiovascular, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Jinghua Yang
- Department of Internal Medicine-Cardiovascular, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Tongru Tian
- Department of Gastroenterology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Yang Wu
- Department of Internal Medicine-Cardiovascular, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Xiaoting Sun
- Department of Orthopedics, Zhengzhou Orthopedic Hospital, Zhengzhou, China
| | - Na Qi
- Department of Encephalology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Nan Tian
- Department of Internal Medicine-Cardiovascular, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Xian Wang
- Department of Internal Medicine-Cardiovascular, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Jisheng Wang
- Department of Andrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
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Zhao S, Li H, Wu C, Pan Z, Wang G, Dai J. Surgical treatment of rare pediatric cardiac myxomas:12 years clinical experience in a single institution. BMC Cardiovasc Disord 2023; 23:219. [PMID: 37118677 PMCID: PMC10147350 DOI: 10.1186/s12872-023-03255-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 04/20/2023] [Indexed: 04/30/2023] Open
Abstract
BACKGROUND Primary cardiac tumors are rare, and cardiac myxoma (CM) accounts for the majority of these tumors. Most of the reports in the literature are case reports. This study summarizes our clinical experience in the surgical treatment of CM over the past 12 years. METHODS We retrospectively analyzed the clinical data of 23 children with CM(8 boys, 15 girls; median age: 8.92 months, range: 2 years 5 months-12 years 9 months; body weight: 11-45 kg, median body weight: 28.21 kg) admitted to our hospital in the previous 12 years, and we statistically analyzed their clinical manifestations and surgical methods. RESULTS 23 cases underwent myxoma excision under cardiopulmonary bypass(CPB). The follow-up period was 0.2 to 12.6 years (mean:7.2 years). Two patients could not be traced, and the follow-up completion rate was 91.30%. One patient (4.35%) died of myocardial infarction early after surgery with low continuous cardiac output. There were no cerebral embolism, acute heart failure, atrioventricular block and other related complications in 19 cases. A patient with cerebral infarction complicated with right hemiplegia recovered well after rehabilitation treatment. There was no recurrence of CM in 19 cases and all patients recovered after surgery. One patient relapsed 5 years after surgery, and no tumor recurrence was observed after the second surgery. Among the 20 long-term survivors, 13 (65.00%) were NYHA Class I patients and 7(35.00%) were NYHA Class II patients. CONCLUSIONS Although CM in children is rare, it may cause cerebral infarction and other multi-organ embolism. Once CM is found and removed as soon as possible, it can reduce serious complications. If the complete resection is possible, surgery provides better palliation. Follow-up echocardiographic should be paid attention to after surgery.
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Affiliation(s)
- Shengliang Zhao
- Department of Cardio-Thoracic Surgery, Children's Hospital of Chongqing Medical University, No. 20, Jinyu Avenue, Liangjiang New District, Chongqing, P. R. China
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, P. R. China
- Department of Thoracic Surgery, Second Affiliated Hospital of Army Medical University, Chongqing, P. R. China
| | - Hua Li
- Department of Thoracic Surgery, Second Affiliated Hospital of Army Medical University, Chongqing, P. R. China
| | - Chun Wu
- Department of Cardio-Thoracic Surgery, Children's Hospital of Chongqing Medical University, No. 20, Jinyu Avenue, Liangjiang New District, Chongqing, P. R. China
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, P. R. China
| | - Zhengxia Pan
- Department of Cardio-Thoracic Surgery, Children's Hospital of Chongqing Medical University, No. 20, Jinyu Avenue, Liangjiang New District, Chongqing, P. R. China
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, P. R. China
| | - Gang Wang
- Department of Cardio-Thoracic Surgery, Children's Hospital of Chongqing Medical University, No. 20, Jinyu Avenue, Liangjiang New District, Chongqing, P. R. China
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, P. R. China
| | - Jiangtao Dai
- Department of Cardio-Thoracic Surgery, Children's Hospital of Chongqing Medical University, No. 20, Jinyu Avenue, Liangjiang New District, Chongqing, P. R. China.
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, P. R. China.
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Khan Z, Yousif Y, Abumedian M, Ibekwe M, Warrier V, Muhammad SA, Gupta A. A Case Report on the Incidental Diagnosis of a Left Atrial Myxoma in a Patient Presenting With Right Shoulder Pain and Inter-scapular Back Pain. Cureus 2022; 14:e23187. [PMID: 35444891 PMCID: PMC9009539 DOI: 10.7759/cureus.23187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2022] [Indexed: 12/01/2022] Open
Abstract
Primary cardiac tumors are rare, and myxoma is a rare benign primary cardiac tumor in adults, commonly found within the left atrium. The presentation can vary from patients being asymptomatic to pulmonary embolism or stroke. Smaller atrial myxomas are usually asymptomatic, however, larger ones can cause symptoms such as dyspnea, orthopnea, cough, peripheral edema, palpitations, and fatigue. We present a case report of a 72-year-old patient presenting with right shoulder pain and chest pain on breathing to the accident and emergency department. The patient was complaining of right shoulder pain for five days and pleuritic chest pain for the last 48 hours. Initial electrocardiogram showed normal sinus rhythm, however, repeat electrocardiograms showed atrial fibrillation. An echocardiogram showed a homogeneous, relatively round mass seen in the left atrium, close to the inter-atrial septum, and close to the roof of the left atrium, and the patient underwent surgical removal of the benign tumor.
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Shabab S, Erfanzadeh M, Ahmadian S, Mahmoudabady M, Mazloum N. A case report of left atrial myxoma presenting with amnesia. BMC Cardiovasc Disord 2021; 21:225. [PMID: 33932989 PMCID: PMC8088308 DOI: 10.1186/s12872-021-02036-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 04/25/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Primary cardiac tumors are rare, and approximately 90% of them are benign. Myxoma is the most common type of these tumors occurring in the left atrium in 75-85% of cases. The tumor can cause the left atrio-ventricular valve obstruction and embolization phenomenon. Case presentation We reported a case of 54-year-old man with complaints of dyspenea and amnesia. In our patient, transthoracic echocardiography revealed a mass of 28*63 mm attached to the upper intra-atrial septum, which was prolapsing through the mitral valve into the left ventricle during diastole, being indicative of the left atrial myxoma. On examination, he was alert and conversant, and no pathological abnormality was observed in the examination of cardiovascular, gastrointestinal, respiratory, hepatic, renal and nervous systems. After myxoma diagnosis, the tumor was removed under cardiac surgery and discharged under good conditions. In the telephone follow-up after discharge, the patient recovered and did not report the disease and surgery complications. CONCLUSIONS Patients with cardiac myxoma are usually asymptomatic, but they may have manifestations related to the embolism phenomenon or intracardiac obstruction. Therefore, myxoma may represent an emergency. Surgery should be performed as soon as possible. If surgery is delayed, the patient may suffer from serious and irreversible complications, such as stroke and cardiac arrest.
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Affiliation(s)
- Sadegh Shabab
- Department of Physiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | | | | | - Maryam Mahmoudabady
- Department of Physiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. .,Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
| | - Naser Mazloum
- Department of Cardiology, Samen Hospital, Mashhad, Iran
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