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Sharma R, Annam S, Guler M, Ali B, Hussein H. Cardiac calcified amorphous tumour: an unusual aetiology for recurrent cardioembolic strokes. BMJ Case Rep 2024; 17:e257226. [PMID: 38272522 PMCID: PMC10826496 DOI: 10.1136/bcr-2023-257226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2024] Open
Abstract
We report an elderly woman with vascular risk factors and recurrent cardioembolic strokes in whom the stroke aetiology was finally ascertained to be a calcified amorphous tumour of the heart after repeated negative investigations for embolic aetiology over 2 years. This report discusses the clinical and imaging characteristics of calcified amorphous tumours of the heart with emphasis of recent advances in cardiac imaging.
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Affiliation(s)
- Rishi Sharma
- Neurology, University of Minnesota Medical School Twin Cities, Minneapolis, Minnesota, USA
| | - Saketh Annam
- Neurology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Mehmet Guler
- Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Bilal Ali
- Department of Cardiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Haitham Hussein
- Neurology, University of Minnesota, Minneapolis, Minnesota, USA
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Hama-Karim DS, Othman YN, Majeed ZS, Ali RK, Mohammed A, Muhamad HN. Intracardiac amorphous tumor presenting in a patient with homocystinuria; a case report with literature review. Radiol Case Rep 2023; 18:1337-1341. [PMID: 36704364 PMCID: PMC9870922 DOI: 10.1016/j.radcr.2022.12.040] [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: 11/21/2022] [Revised: 12/16/2022] [Accepted: 12/20/2022] [Indexed: 01/21/2023] Open
Abstract
Homocystinuria is a rare genetic disease with autosomal recessive pattern. It is reported to be highest in Arabian descend and could cause thrombosis, but mainly peripherally. Cardiac amorphous tumor has been recognized in the past 20 years and it is also a very rare cause primary benign tumor of the heart. Most of the cases reported to be associated with end-stage renal disease. Homocystinuria associated with Cardiac Amorphous tumor is extremely rare. Up to our knowledge, there has been only one other case has been reported. Our patient is a 14-year-old female known case of homocystinuria presented with dyspnea and leg edema. On workup was found to have a mass in the right atrium extending to superior vena cava and inferior cava. Surgery undertaken on cardiopulmonary bypass partial resection of the mass was done and result came back as cardiac amorphous tumor. We assume the cause of this sinister complication of her primary illness is calcification of thrombus as stated in literature. And also recommend further studies regarding issue on hand.
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Affiliation(s)
- Diar S. Hama-Karim
- Open Heart Center, Cardiac Care Unit, Sulaimaniyah Teaching Hospital, As-Sulaimaniyah, Kurdistan, Iraq
| | - Yad N. Othman
- Department of Thoracic and Cardiovascular, Shar Teaching Hospital, Malik Mahmood Circle, As-Sulaimaniyah 46001, Kurdistan, Iraq,Corresponding author.
| | - Zryan Salar Majeed
- Department of Thoracic and Cardiovascular, Shar Teaching Hospital, Malik Mahmood Circle, As-Sulaimaniyah 46001, Kurdistan, Iraq
| | - Razhan K. Ali
- Department of Thoracic and Cardiovascular, Shar Teaching Hospital, Malik Mahmood Circle, As-Sulaimaniyah 46001, Kurdistan, Iraq
| | - Arian Mohammed
- Open Heart Center, Cardiac Care Unit, Sulaimaniyah Teaching Hospital, As-Sulaimaniyah, Kurdistan, Iraq
| | - Han Nihad Muhamad
- College of Dentistiry, University of Sulaimany, As-Sulaimaniyah, Kurdistan, Iraq
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Chaves BJ, Duarte MB, Passaglia LG, Gelape C, Azevedo PHR, Brasileiro Filho G. Caseous Calcification of the Mitral Annulus: A Post-Heart Transplant Diagnosis. Arq Bras Cardiol 2022; 119:999-1001. [PMID: 36541998 DOI: 10.36660/abc.20210906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Accepted: 06/01/2022] [Indexed: 11/27/2022] Open
Affiliation(s)
- Bruno Jordão Chaves
- Universidade Federal de Minas Gerais - Faculdade de Medicina, Belo Horizonte, MG - Brasil
| | | | | | - Claudio Gelape
- Universidade Federal de Minas Gerais - Faculdade de Medicina, Belo Horizonte, MG - Brasil
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Okazaki A, Oyama Y, Hosokawa N, Ban H, Miyaji Y, Moody S. The First Report of Calcified Amorphous Tumor Associated with Infective Endocarditis: A Case Report and Review of Literature. AMERICAN JOURNAL OF CASE REPORTS 2020; 21:e922960. [PMID: 32374721 PMCID: PMC7226926 DOI: 10.12659/ajcr.922960] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND Calcified amorphous tumor (CAT) of the heart is a rare non-neoplastic intracardiac mass, which is composed of calcium deposition surrounded by amorphous fibrous tissue. The clinical presentation of cardiac CAT resembles that of other cardiac tumors or vegetation, though there is no previous report of a CAT complicated with infective endocarditis. CASE REPORT A 67-year-old male with a history of end stage renal failure and gastric cancer who was on adjuvant chemotherapy presented with a cardiac mass. The mass was resected and diagnosed as CAT pathologically. Two separate sets of blood cultures were positive for Enterococcus faecalis, thus, the patient was diagnosed with infective endocarditis. Antibiotic treatment was continued for 6 weeks after surgery, and the patient recovered uneventfully. However, he died from a complication of his gastric cancer 5 months later. CONCLUSIONS This is the first report of CAT associated with infective endocarditis. Blood cultures should be obtained to differentiate infective endocarditis or CAT with infectious endocarditis from CAT alone, because CAT with infective endocarditis may present atypically and may be more likely to require antibiotic treatment along with surgery.
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Affiliation(s)
- Aiko Okazaki
- Department of Oncology, Kameda Medical Center, Kamogawa, Chiba, Japan
| | - Yu Oyama
- Department of Oncology, Kameda Medical Center, Kamogawa, Chiba, Japan
| | - Naoto Hosokawa
- Department of Infectious Diseases, Kameda Medical Center, Kamogawa, Chiba, Japan
| | - Hirokazu Ban
- Department of Infectious Diseases, Kameda Medical Center, Kamogawa, Chiba, Japan
| | - Yasutomo Miyaji
- Department of Oncology, Kameda Medical Center, Kamogawa, Chiba, Japan
| | - Sandra Moody
- Department of Clinical Education, Kameda Medical Center, Kamogawa, Chiba, Japan
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Xu F, Xiao Z, Peng L, Qin C, Yang G, Gu J, Zuo Y. A Rare Case of Cardiac Calcified Amorphous Tumor: Multi-Modality Imaging Evaluation. AMERICAN JOURNAL OF CASE REPORTS 2018; 19:214-217. [PMID: 29483487 PMCID: PMC5841954 DOI: 10.12659/ajcr.907641] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Patient: Male, 47 Final Diagnosis: Cardiac calcified amorphous tumor Symptoms: Dizziness Medication: — Clinical Procedure: — Specialty: Cardiac Procedure
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Affiliation(s)
- Fei Xu
- Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Zhenghua Xiao
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Liqing Peng
- Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Chaoyi Qin
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Gang Yang
- Department of Medical Information and Engineering, School of Electrical Engineering and Information, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Jun Gu
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Yunxia Zuo
- Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
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