Affiliation:
1. International Transitional Medical Graduate Member. American College of Physician. Philadelphia, PA.
2. Barnes-Jewish Hospital
3. National Autonomous University of Honduras
Abstract
Abstract
Myxomas are the most common primary cardiac tumors, predominantly found in the left atrium. They can present with various symptoms, including cardiac manifestations such as heart failure, arrhythmias, stroke, and systemic findings. Surgical resection of myxomas has a favorable prognosis with low complication rates. This case report presents a 41-year-old man with dyspnea, abdominal distension, and edema diagnosed with a giant left atrial myxoma. Successful surgical removal resulted in symptom resolution. Cardiac myxomas are rare, with a prevalence of about 0.03% in the general population. Clinical manifestations, including intracardiac obstruction, embolization, and constitutional symptoms, depend on the tumor's location, size, and mobility. Echocardiography is essential for diagnosis, while additional imaging techniques such as CT and MRI can provide further information. Surgical excision is typically necessary to prevent embolization, with favorable outcomes, although there is a risk of arrhythmias, conduction abnormalities, recurrence, and development of new lesions.
Publisher
Research Square Platform LLC
Reference17 articles.
1. Histopathologic and clinical characterization of cardiac myxoma: review of 53 cases from a single institution;Pucci A;Am Heart J,2000
2. Atrial Myxoma Mimicking Mitral Stenosis;Spartalis M;Cardiol Res.,2017
3. Cardiac myxoma: diagnostic approach, surgical treatment and follow-up. A twenty years experience;Jelic J;J Cardiovasc Surg (Torino),1996
4. Reynen K. Cardiac Myxomas. N Engl J Med. 1995 Dec 14;333(24):1610–7.
5. Cardiac Tumors: Clinical Perspective and Therapeutic Considerations;Ren DY;Curr Drug Targets,2017