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Javaid A, Khandait H, Ong CK. Left atrial myxoma with coronary artery disease. BMJ Case Rep 2022; 15:e252905. [PMID: 36316054 PMCID: PMC9628531 DOI: 10.1136/bcr-2022-252905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023] Open
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Peng X, Xiao Y, Guo Y, Zhu Z, Liao L, Liao X, Hu X, Fang Z, Li X, Zhou S. Clinical Significance of Angiographically Detectable Neovascularity in Patients with Cardiac Myxoma. CARDIOVASCULAR INNOVATIONS AND APPLICATIONS 2021. [DOI: 10.15212/cvia.2021.0025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background: Myxomas are the most common primary cardiac tumors. Angiographically detectable neovascularity (ADN) of myxoma is increasingly being reported as a result of the use of coronary angiography (CAG) to detect coronary artery disease. However, the clinical significance
of these findings is not fully understood.Methods: We enrolled 59 patients with cardiac myxoma who also underwent CAG between January 2013 and October 2018. Patients were followed up for a mean of 28.9 months (range 1‐69 months). The clinical features, echocardiography measurements,
pathological examination findings, CAG results, and outcomes during follow-up were compared between patients with ADN and patients without ADN.Results: ADN was found in 25 patients (42.4%). The arteries feeding the ADN included the right coronary artery (n=15), the left circumflex
coronary artery (n=7), and both arteries (n=3). The patients with ADN had a higher proportion of eosinophils (3.2% vs. 2.2%, P=0.03) and higher low-density lipoprotein cholesterol level (2.7 mmol/L vs. 2.2 mmol/L, P=0.02). Myxoma pedicles were more likely to be located in the
interatrial septum in patients with ADN (96% vs. 73.5%, P=0.02). No significant correlation was observed between the groups in clinical manifestations, atrial arrhythmia, myxoma size, cardiac chamber size, left ventricular ejection fraction, and the prevalence of complication with coronary
artery disease [16% in the ADN group (n=4) vs. 20.6% in the non-ADN group (n=7), P=0.66]. However, patients with ADN tended to have a lower incidence of major adverse cardiac and cerebrovascular events on long-term follow-up (0% vs. 14.7%, P=0.07).Conclusion: CAG-detected
ADN in patients with cardiac myxoma is associated with a borderline lower rate of major adverse cardiac and cerebrovascular events.
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Affiliation(s)
- Xiaofan Peng
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Yichao Xiao
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Yanan Guo
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Zhaowei Zhu
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Liyan Liao
- Department of Pathology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Xiaobo Liao
- Department of Cardiovascular and Thoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Xinqun Hu
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Zhenfei Fang
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Xuping Li
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Shenghua Zhou
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
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Velasco CE, Suarez NP, Roullard CP, McCullough PA, Roberts WC. Usefulness of coronary angiography in patients with left atrial myxoma. Proc (Bayl Univ Med Cent) 2020; 33:529-531. [DOI: 10.1080/08998280.2020.1776024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- Carlos E. Velasco
- Baylor Scott & White Heart and Vascular Hospital, Dallas, Texas
- Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas
- College of Medicine, Texas A&M Health Science Center Dallas Campus, Dallas, Texas
| | | | | | - Peter A. McCullough
- Baylor Scott & White Heart and Vascular Hospital, Dallas, Texas
- Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas
- College of Medicine, Texas A&M Health Science Center Dallas Campus, Dallas, Texas
| | - William C. Roberts
- Baylor Scott & White Heart and Vascular Hospital, Dallas, Texas
- Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas
- College of Medicine, Texas A&M Health Science Center Dallas Campus, Dallas, Texas
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Isaev GO, Mironova OY, Yudakova ME, Shakhnovish RM, Fomin VV. [Metastatic lesion of the right atrium with renal cell carcinoma]. TERAPEVT ARKH 2019; 91:124-128. [PMID: 32598823 DOI: 10.26442/00403660.2019.09.000218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Indexed: 11/22/2022]
Abstract
Tumors in the heart are rare and difficult to diagnose pathologies. There are primary and secondary tumors, the letter tumors include metastases of other tumors. In this work is presented clinical case of metastatic lesion of the right atrium with renal cell carcinoma. Modern methods of diagnostics of patients with intracardiac formations are discussed.
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Affiliation(s)
- G O Isaev
- Sechenov First Moscow State Medical University (Sechenov University)
| | - O Y Mironova
- Sechenov First Moscow State Medical University (Sechenov University)
| | - M E Yudakova
- Hospital of the Central Bank of the Russian Federation
| | | | - V V Fomin
- Sechenov First Moscow State Medical University (Sechenov University)
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Aytemir K, Nazli N, Tokgözoğlu SL, Demircin M, Özin B. Tumor Vascularity in Left Atrial Myxoma Supplied by the Left Circumflex Artery—A Case Report. ACTA ACUST UNITED AC 2016. [DOI: 10.1177/153857449302700609] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A sixty-four-year-old woman with a left atrial myxoma underwent coronary angiography to delineate the coronary anatomy before surgery. It was found that the coronary arteries were normal, but a "tumor neovascularization" could be seen that was supplied by the atrial branch of the left circumflex ar tery. Tumor neovascularization can sometimes be detected in highly vascular myxomas and is usually supplied by the right coronary artery. Here we report a rare case of tumor vascularization from the circumflex artery.
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Affiliation(s)
- Kudret Aytemir
- Department of Cardiology, Hacettepe University Faculty of Medicine
| | - Nasih Nazli
- Department of Cardiology, Hacettepe University Faculty of Medicine
| | | | - Metin Demircin
- Department of Cardiovascular and Thoracic Surgery, Hacettepe University Faculty of Medicine
| | - Bülent Özin
- Department of Internal Medicine, Hacettepe University Faculty of Medicine, Hacettepe, Ankara, Turkey
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Silva M, Carneiro M, Nunes J, da Silva A, de Sousa M. Systematic Review and Meta-analysis of Prevalence of Coronary Artery Disease in Adult Patients with Cardiac Myxomas. F1000Res 2015; 4:194. [PMID: 28620449 PMCID: PMC5461895 DOI: 10.12688/f1000research.6641.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/15/2015] [Indexed: 11/20/2022] Open
Abstract
Background: Studies have reported varied prevalence estimates of coronary artery disease (CAD) in cardiac myxoma patients. We performed a systematic review and meta-analysis of observational studies to summarize the point prevalence of CAD in adults with cardiac myxomas. Methods and Results: Two independent investigators searched MEDLINE and LILACS databases using the terms " Myxoma", " Coronary Angiography" and " Coronary Disease" from inception through December 2014 for all relevant studies. We included 6 observational studies. Publication bias was evaluated through Egger's test and Trim and Fill method. A pooled estimate of CAD prevalence with corresponding 95% confidence interval (CI) was calculated based on a random-effects model. The pooled CAD prevalence in adult cardiac myxoma patients was 20.7% with low heterogeneity (I 2 = 14.86%). Conclusions: It is a matter of debate if preoperative coronary angiography must be done as a routine procedure. Although coronary disease and angiographically detectable neovascularity can alter surgical management, more studies are needed to evaluate this question.
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Affiliation(s)
- Matheus Silva
- Inteventional Cardiology Department, Hospital Universitário Ciências Médicas, Belo Horizonte, 30140-073, Brazil
| | - Matheus Carneiro
- Inteventional Cardiology Department, Hospital São José do Avaí, Itaperuna, 28300-000, Brazil
| | - Júlio Nunes
- Inteventional Cardiology Department, Hospital São José do Avaí, Itaperuna, 28300-000, Brazil
| | - Antônio da Silva
- Inteventional Cardiology Department, Hospital São José do Avaí, Itaperuna, 28300-000, Brazil
| | - Marcos de Sousa
- Post Graduation Program in Adult Health Sciences and Division of Cardiology and Cardiovascular Surgery, Hospital das Clínicas, School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Shabestari MM, Fazlinezhad A, Moravvej Z, Tashnizi MA, Azari A, Bigdelu L. A case of left atrial myxoma with unusual tumor vascularity. Asian Cardiovasc Thorac Ann 2014; 23:458-60. [PMID: 24887916 DOI: 10.1177/0218492313513776] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
A 69-year-old woman presented with a 2-week history of chest pain and mitral and aortic valve replacement 15 and 5 years earlier. Transthoracic echocardiography revealed a well-seated monoleaflet mitral valve and a bileaflet aortic valve with normal function. Cardiac catheterization showed 3-vessel coronary artery disease and an abnormal cluster of new vessels derived from the left atrial circumflex and posterior ventricle branches. Two- and 3-dimensional transesophageal echocardiography identified a semi-mobile oval left atrial mass with multiple internal cystic spaces, attached to the fossa ovalis region in the interatrial septum. The mass was resected. The pathological diagnosis was atrial myxoma.
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Affiliation(s)
- Mahmoud Mohammadzadeh Shabestari
- Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Afsoon Fazlinezhad
- Department of Cardiology, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Zahra Moravvej
- Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Students' Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mohammad Abbasi Tashnizi
- Department of Cardiac Surgery, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Ali Azari
- Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Department of Cardiac Surgery, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Leila Bigdelu
- Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Department of Cardiology, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
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Omar HR. The value of coronary angiography in the work-up of atrial myxomas. Herz 2013; 40:442-6. [PMID: 24173374 DOI: 10.1007/s00059-013-3930-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2013] [Revised: 07/02/2013] [Accepted: 07/23/2013] [Indexed: 11/26/2022]
Abstract
Atrial myxomas are the most common primary cardiac tumors. They are highly vascular with evidence of neovascularization and a characteristic"tumor blush" in approximately half of the cases. Although the visualization of feeding vessels has several clinical and therapeutic implications, there is still no consensus on the indication of preoperative coronary angiography to assess tumor vascularity except in patients with angina or those older than 40 years to rule out coronary artery disease. Herein, I present a case of an incidentally discovered right atrial mass receiving vascular supply from the right coronary artery. The mass was successfully excised and the diagnosis of cardiac myxoma was confirmed via histopathology. A review of the value of coronary angiography in detecting myxoma neovascularization is provided, which suggests that it can offer additional valuable information that can alter the surgical approach and therefore may be considered prior to myxoma resection.
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Affiliation(s)
- H R Omar
- Internal Medicine Department, Mercy Hospital and Medical Center, 2525 South Michigan Avenue, 60616, Chicago, Illinois, USA,
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Sonker U, Kloppenburg GT, Knoop EA, Seldenrijk CA, Morshuis WJ. Emergency Surgery for Acute Mitral Valve Obstruction Resulting From Hemorrhage Within a Left Atrial Myxoma. Ann Thorac Surg 2009; 87:636-8. [DOI: 10.1016/j.athoracsur.2008.06.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2008] [Revised: 05/25/2008] [Accepted: 06/02/2008] [Indexed: 11/30/2022]
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10
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Ekmektzoglou KA, Samelis GF, Xanthos T. Heart and tumors: location, metastasis, clinical manifestations, diagnostic approaches and therapeutic considerations. J Cardiovasc Med (Hagerstown) 2008; 9:769-77. [DOI: 10.2459/jcm.0b013e3282f88e49] [Citation(s) in RCA: 67] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Stainback RF, Hamirani YS, Cooley DA, Buja LM. Tumors of the Heart. CARDIOVASCULAR MEDICINE 2007. [DOI: 10.1007/978-1-84628-715-2_110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
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Abstract
BACKGROUND Myxoma usually presents with nonspecific symptoms. Preoperative coronary angiography is presently only considered if patients are at increased risk of coronary artery disease (CAD). The angiographic patterns of cardiac myxoma have not been fully described. HYPOTHESIS The aim of our study was to investigate coronary angiograms as well as patterns of tumor vascularity in patients with cardiac myxoma. METHODS From January 1990 to December 2003, 33 patients with cardiac myxoma, who had received surgical resection at our hospital, were enrolled; of these, 9 patients underwent preoperative coronary angiography. The severity and extent of coronary artery stenosis, as well as tumor angiographic patterns, were analyzed. Coronary artery disease is defined as a > 50% stenosis in diameter at any segment of the coronary artery viewed by two orthogonal views on cineangiogram. RESULTS Four (44.4%) patients showed concomitant CAD. The presence of coronary risk factors was not different between patients with and without CAD. Contrast media-enhanced tumor vasculature was found in five (55.6%) patients. Four (80%) patients had multiple feeding arteries. There was the characteristic "sea anemone" appearance of the tumor vasculature composed of (1) basal vascular network, (2) vessel stem, (3) backbone branches, and (4) dye brushes. These findings were characteristic of cardiac myxoma. CONCLUSION Coronary angiography can detect the concomitant coronary disease and the unique vascular appearances of cardiac myxoma. Familiarity with the "sea-anemone" angiographic findings may help in the diagnosis of cardiac myxoma.
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Affiliation(s)
- Chun‐Yao Huang
- Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
- National Yang‐Ming University, Taipei, Taiwan
| | - Wen‐Chung Yu
- Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
- National Yang‐Ming University, Taipei, Taiwan
| | - Kuan‐Chun Chen
- Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Shing‐Jong Lin
- Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
- National Yang‐Ming University, Taipei, Taiwan
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Janas R, Jutley RS, Fenton P, Sarkar P. Should we perform preoperative coronary angiography in all cases of atrial myxomas? Catheter Cardiovasc Interv 2006; 67:379-83. [PMID: 16489561 DOI: 10.1002/ccd.20643] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
The prevalence of coronary disease is high in patients with atrial myxomas yet routine angiography is not performed. Moreover, some tumors have angiographically detectable neovascularity, which can alter surgical planning. We report two cases that support our recommendation for performing coronary angiography in all cases diagnosed with cardiac myxomas.
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Affiliation(s)
- Robert Janas
- Department of Cardiac Surgery, Chesterman Unit, Northern General Hospital, Sheffield, United Kingdom.
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Dübel HP, Knebel F, Gliech V, Konertz W, Rutsch W, Baumann G, Borges AC. Atypical vessels as an early sign of intracardiac myxoma? Cardiovasc Ultrasound 2004; 2:13. [PMID: 15310408 PMCID: PMC514718 DOI: 10.1186/1476-7120-2-13] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2004] [Accepted: 08/13/2004] [Indexed: 01/12/2023] Open
Abstract
We report on a woman with previously unknown left atrial myxoma, who underwent percutaneous coronary intervention. 45 months after the initial coronary angiography, echocardiography demonstrated a large atrial myxoma, which was not seen echocardiographically before. The retrospective analysis of the pre-intervention coronary angiography revealed atypical vessels in the atrial septum, which are interpreted as early signs of myxoma.
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Affiliation(s)
- Hans-Peter Dübel
- Medical Clinic for Cardiology, Angiology, Pulmology, Charité Campus Mitte, University medicine Berlin, Germany
| | - Fabian Knebel
- Medical Clinic for Cardiology, Angiology, Pulmology, Charité Campus Mitte, University medicine Berlin, Germany
| | - Volker Gliech
- Medical Clinic for Cardiology, Angiology, Pulmology, Charité Campus Mitte, University medicine Berlin, Germany
| | - Wolfgang Konertz
- Director of the Clinic of Cardiovascular Surgery, Charité Campus Mitte, University Medicine Berlin, Germany
| | - Wolfgang Rutsch
- Medical Clinic for Cardiology, Angiology, Pulmology, Charité Campus Mitte, University medicine Berlin, Germany
| | - Gert Baumann
- Medical Clinic for Cardiology, Angiology, Pulmology, Charité Campus Mitte, University medicine Berlin, Germany
| | - Adrian Constantin Borges
- Medical Clinic for Cardiology, Angiology, Pulmology, Charité Campus Mitte, University medicine Berlin, Germany
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Economides EG, Singh A. Case of tumor neovascularization demonstrated by cardiac catheterization. CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS 1998; 43:451-3. [PMID: 9554777 DOI: 10.1002/(sici)1097-0304(199804)43:4<451::aid-ccd21>3.0.co;2-l] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
A 46-year-old man presented to his physician with nonspecific abdominal complaints. CT of the abdomen was obtained to investigate his symptoms, which showed significant pericardial effusion. One week after drainage of the pericardial fluid, his symptoms recurred and a transesophageal echo showed a right atrial tumor. Cardiac catheterization demonstrated right coronary artery neovascularization. A nonresectable primary angiosarcoma was found following median sternotomy and biopsy.
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Affiliation(s)
- E G Economides
- Department of Internal Medicine, Albany Medical Center, New York, USA.
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Rudoff J, Slavin RE. Cardiac angiosarcoma arising in a coronary artery: angiographic and pathologic findings. CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS 1995; 34:215-8; discussion 219. [PMID: 7497487 DOI: 10.1002/ccd.1810340107] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
We discuss a unique case of an angiosarcoma which arose in an atherosclerotic coronary artery. It was widely metastatic. We describe the angiographic findings and their differential diagnosis, and briefly discuss this relatively common cardiac malignancy.
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Affiliation(s)
- J Rudoff
- Cardiology Section, Kaiser-Sunnyside Medical Center, Clackamas, OR, USA
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Van Cleemput J, Daenen W, De Geest H. Coronary angiography in cardiac myxomas: findings in 19 consecutive cases and review of the literature. CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS 1993; 29:217-20. [PMID: 8402845 DOI: 10.1002/ccd.1810290308] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
We reviewed the coronary angiographic findings of 19 patients with a cardiac myxoma, who underwent cardiac catheterization before surgery. Seventeen myxomas were localized in the left atrium and seven had angiographically visible tumor vascularity emerging from atrial branches of the right coronary artery in four patients and the circumflex coronary artery in three. In one patient, we found significant coronary artery disease of the circumflex coronary artery and in another we saw a thrombus-like lesion in the proximal third of the left anterior descending coronary artery. Our results are compared with the findings in two smaller groups of patients with cardiac myxoma who underwent coronary angiography preoperatively. We conclude that the major importance of coronary angiography in patients with cardiac myxomas is to exclude concomitant coronary artery disease before surgery. In a very small minority of patients, a selective coronary angiography is the clue to the diagnosis of cardiac myxoma.
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Affiliation(s)
- J Van Cleemput
- Department of Cardiology, University Hospital Gasthuisberg, Leuven, Belgium
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