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Komorovsky R, Moroz V, Masliy S, Palamar T, Holovata T, Dovha I, Smiyan S. Right atrial myxoma attached to the roof of the right atrium. J Echocardiogr 2024; 22:177-178. [PMID: 37804435 DOI: 10.1007/s12574-023-00628-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 09/13/2023] [Accepted: 09/19/2023] [Indexed: 10/09/2023]
Affiliation(s)
- Roman Komorovsky
- Department of Internal Medicine, Ivan Horbachevsky Ternopil National Medical University, vul. Klinichna, 1, Ternopil, 46002, Ukraine.
- "Multysono" Medical Center, Ternopil, Ukraine.
| | - Volodymyr Moroz
- Department of Cardiovascular Surgery, Ternopil Regional Hospital, Ternopil, Ukraine
| | - Sofia Masliy
- Department of Internal Medicine, Ivan Horbachevsky Ternopil National Medical University, vul. Klinichna, 1, Ternopil, 46002, Ukraine
- Department of Cardiovascular Surgery, Ternopil Regional Hospital, Ternopil, Ukraine
| | - Tamila Palamar
- Department of Internal Medicine, Ivan Horbachevsky Ternopil National Medical University, vul. Klinichna, 1, Ternopil, 46002, Ukraine
| | - Tetiana Holovata
- Department of Pathology, Ivan Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
| | - Iryna Dovha
- Department of Cardiovascular Surgery, Ternopil Regional Hospital, Ternopil, Ukraine
| | - Svitlana Smiyan
- Department of Internal Medicine, Ivan Horbachevsky Ternopil National Medical University, vul. Klinichna, 1, Ternopil, 46002, Ukraine
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Bhagia G, Hussain N, Arty F, Chakravarthy M, Shah M. Myxoma Involving the Pulmonary Valve - A Case Report of an Atypical Cardiac Tumor, Treated Using an Unusual Approach. Eur J Case Rep Intern Med 2024; 11:004519. [PMID: 38846647 PMCID: PMC11152223 DOI: 10.12890/2024_004519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Accepted: 04/29/2024] [Indexed: 06/09/2024] Open
Abstract
Background Atypical myxoma has been reported in various locations in the heart, however, myxoma involving the pulmonary valve is rare. Here we present a case of pulmonic valve myxoma which was resected via a percutaneous approach. Case Report A 66-year-old female with known metastatic adenocarcinoma of the lung, and chronic obstructive pulmonary disease presented with acute onset shortness of breath for two days. The patient experienced respiratory arrest en-route to the hospital and required intubation. Computed tomography angiography (CTA) of the chest revealed a new 1.4 × 1.6 cm intracardiac mass along the pulmonary valve. Further evaluation with cardiac magnetic resonance imaging revealed it to be a large vascular tumor on the ventricular side of the pulmonary valve, attached with a narrow stalk. Due to high surgical risk, the patient underwent transesophageal echocardiographic guided percutaneous removal of the mass. Pathology confirmed the mass to be a myxoma. Conclusion Atypical myxoma should be considered in the differential diagnosis of valvular masses. Percutaneous resection of valvular masses may be feasible in high-risk surgical patients. LEARNING POINTS Pulmonary valve myxoma is a rare condition and the literature on the characteristics and treatment options for pulmonary valve myxoma is limited.Our patient was treated with a minimally invasive treatment approach: removal of a tumor with intra operative transesophageal echocardiographic guidance using AngioVac and Flow Triever catheters.Percutaneous resection of valvular masses may be feasible in high surgical risk patients.
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Affiliation(s)
| | | | - Fnu Arty
- Monmouth Medical Center, Long Branch, USA
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Khani M, Abdar Esfahani M, Bayat F, Khalaj A, Bagheri A. Large Tricuspid Valve Myxoma in an Asymptomatic Patient with Uterine Myoma: An Uncommon Case. J Tehran Heart Cent 2022; 16:75-78. [PMID: 35082875 PMCID: PMC8742864 DOI: 10.18502/jthc.v16i2.7388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Accepted: 02/04/2021] [Indexed: 11/30/2022] Open
Abstract
Tricuspid valve myxomas are very uncommon tumors that could be found after the occurrence of pulmonary thromboembolism, symptomatic tricuspid obstruction, and right-sided heart failure. Herein, we describe a 42-year-old woman evaluated for an abdominal mass. In preoperative consultation, a tricuspid valve mass was detected in echocardiography. She underwent the removal of a benign uterine myoma and a myxoma of the tricuspid valve. Tricuspid valve myxomas constitute a scarce diagnosis. They could be asymptomatic, occurring in unusual locations and in association with benign tumors in other organs. Our patient was asymptomatic, underscoring the significance of the early diagnosis of this type of tumor to prevent further catastrophic events.
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Affiliation(s)
- Mohammad Khani
- Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Fariba Bayat
- Cardiovascular Research Center, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Alireza Khalaj
- Department of Cardiac Surgery, Shahed University of Medical Sciences, Tehran, Iran
| | - Abdolhamid Bagheri
- Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Yu NY, Niska JR. Azygous tumor thrombus extending into the heart. J Cardiovasc Comput Tomogr 2018; 14:e9-e10. [PMID: 30314875 DOI: 10.1016/j.jcct.2018.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 09/20/2018] [Accepted: 09/29/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Nathan Y Yu
- Department of Radiation Oncology, Mayo Clinic, Phoenix, AZ, USA.
| | - Joshua R Niska
- Department of Radiation Oncology, Mayo Clinic, Phoenix, AZ, USA
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Kim HY, Baek SH, Yoon JU, Lee DH, Byeon GJ, Ahn JH. Cardiac arrest during radical nephrectomy due to a mass in the right ventricular outflow tract. J Clin Anesth 2016; 33:156-9. [PMID: 27555152 DOI: 10.1016/j.jclinane.2016.02.041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 02/17/2016] [Accepted: 02/18/2016] [Indexed: 01/15/2023]
Abstract
We report cardiac arrest due to obstruction of the right ventricular outflow tract (RVOT) caused by an RVOT mass that was not identified preoperatively. A 62-year-old woman with renal cell carcinoma (RCC) experienced deteriorating hypotension and bradycardia during radical nephrectomy. Hemodynamic stability was maintained on extracorporeal membrane oxygenation, and after surgery, she was transferred to the intensive care unit. On postoperative day 3, transthoracic echocardiography showed an intracardiac mass obstructing the RVOT, which caused severe functional pulmonary stenosis and moderate resting pulmonary hypertension. Despite maintaining extracorporeal membrane oxygenation, the patient died of cardiac arrest. Our findings suggest that it may be necessary to perform additional tests if RCC has invaded the renal vein and inferior vena cava or if a patient with RCC has abnormal cardiovascular symptoms without definite etiology for exclusion of cardiac metastasis or tumor thrombus. In addition, intraoperative transesophageal echocardiography might be the procedure of choice for the evaluation of these conditions because other diagnostic tests are difficult to perform during surgery. In conclusion, for patients with acute hemodynamic instability for whom other possible causes have been excluded, we recommend that anesthesiologists use transesophageal echocardiography to detect outflow tract obstruction or pulmonary thromboembolism and perform anesthetic management.
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Affiliation(s)
- Hee Young Kim
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Seung-Hoon Baek
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
| | - Ji Uk Yoon
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Dong Hoon Lee
- Department of Urology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Gyeong-Jo Byeon
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Ji Hye Ahn
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
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Şaşkın H, Düzyol Ç, Özcan KS, Aksoy R. Right atrial myxoma mimicking tricuspid stenosis. BMJ Case Rep 2015; 2015:bcr-2015-210818. [PMID: 26272962 DOI: 10.1136/bcr-2015-210818] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
A 62-year-old man presented to the cardiology clinic with symptoms of fatigue, shortness of breath and swelling in the abdomen and legs. A pedunculated mobile mass with a short stalk in the right atrium was found to originate from the inferior vena caval opening and prolapse into the right ventricle through a tricuspid valve during diastole in echocardiography. The patient was referred to our department and surgery was planned for right atrial myxomas diagnosis. The mass with surrounding tissue was surgically removed using the cardiopulmonary bypass method. No postoperative complications were seen in the currently asymptomatic patient who is still under our follow-up schedule.
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Affiliation(s)
- Hüseyin Şaşkın
- Department of Cardiovascular Surgery, Derince Training and Research Hospital, Kocaeli, Turkey
| | - Çağrı Düzyol
- Department of Cardiovascular Surgery, Derince Training and Research Hospital, Kocaeli, Turkey
| | - Kazım Serhan Özcan
- Department of Cardiology; Derince Training and Research Hospital, Kocaeli, Turkey
| | - Rezan Aksoy
- Department of Cardiovascular Surgery, Derince Training and Research Hospital, Kocaeli, Turkey
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Liu J, Kou Z, Tian Y. Diffuse axonal injury after traumatic cerebral microbleeds: an evaluation of imaging techniques. Neural Regen Res 2014; 9:1222-30. [PMID: 25206786 PMCID: PMC4146289 DOI: 10.4103/1673-5374.135330] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2014] [Indexed: 12/11/2022] Open
Abstract
Previous neuropathological studies regarding traumatic brain injury have primarily focused on changes in large structures, for example, the clinical prognosis after cerebral contusion, intracerebral hematoma, and epidural and subdural hematoma. In fact, many smaller injuries can also lead to severe neurological disorders. For example, cerebral microbleeds result in the dysfunction of adjacent neurons and the disassociation between cortex and subcortical structures. These tiny changes cannot be adequately visualized on CT or conventional MRI. In contrast, gradient echo sequence-based susceptibility-weighted imaging is very sensitive to blood metabolites and microbleeds, and can be used to evaluate traumatic cerebral microbleeds with high sensitivity and accuracy. Cerebral microbleed can be considered as an important imaging marker for diffuse axonal injury with potential relevance for prognosis. For this reason, based on experimental and clinical studies, this study reviews the role of imaging data showing traumatic cerebral microbleeds in the evaluation of cerebral neuronal injury and neurofunctional loss.
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Affiliation(s)
- Jun Liu
- Department of Radiology, Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China ; Department of Biomedical Engineering and Radiology, School of Medicine, Wayne State University, 3990 John R St, Detroit, MI, USA ; School of Public Administration, Central South University, Changsha, Hunan Province, China
| | - Zhifeng Kou
- Department of Biomedical Engineering and Radiology, School of Medicine, Wayne State University, 3990 John R St, Detroit, MI, USA
| | - Yongquan Tian
- School of Public Administration, Central South University, Changsha, Hunan Province, China
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Garcia B, Ancedy Y, Delannoy E, Fauchier L. An atypical intracardiac mass in a 61-year-old man. Heart 2014; 100:985, 987. [PMID: 24842836 DOI: 10.1136/heartjnl-2014-305505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Bruno Garcia
- Service de Cardiologie, Pôle Cœur Thorax Vasculaire, Trousseau et Faculté de Médecine, Centre Hospitalier Universitaire, Université François Rabelais, Tours, France
| | - Yann Ancedy
- Service de Cardiologie, Pôle Cœur Thorax Vasculaire, Trousseau et Faculté de Médecine, Centre Hospitalier Universitaire, Université François Rabelais, Tours, France
| | - Eric Delannoy
- Service de Cardiologie, Pôle Cœur Thorax Vasculaire, Trousseau et Faculté de Médecine, Centre Hospitalier Universitaire, Université François Rabelais, Tours, France
| | - Laurent Fauchier
- Service de Cardiologie, Pôle Cœur Thorax Vasculaire, Trousseau et Faculté de Médecine, Centre Hospitalier Universitaire, Université François Rabelais, Tours, France
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