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ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2012, Number 4

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Acta Med Cent 2012; 6 (4)

Giant left atrial myxoma associated with prolonged fever

Ramos GHL, González VC, Perez CD

Language: Spanish
References: 20
Page:
PDF size: 171.61 Kb.


ABSTRACT

Myxomas are the most common primary tumor affecting the heart. Infection of these tumors is rare and sometimes its clinical presentation is indistinguishable from an uninfected myxoma. The case of a 49-year-old female patient with a persistent fever of probable bacterial origin, which leads to antibiotic treatment, is reported. It was decided to perform a transthoracic and transesophageal echocardiography to reach a diagnosis. Surgery was performed, the tumor was resected (the result of the biopsy showed it was an atrial myxoma) and the subsequent clinical course was uneventful.


REFERENCES

  1. Shapiro LM. Cardiac tumours: diagnosis and management. Heart. 2001;85:218-22.

  2. Vargas-Barrón J, Romero-Cárdenas A, Villegas M, Keirns C, Gómez-Jaume A, Delong R, et al. Transthoracic and transesophageal echocardiographic diagnosis of myxomas in the four patients. Rev Esp Cardiol. 2008;61(11):1205-9.

  3. Atalay MK, Taner AT. Gradual enhancement of a large left atrial papillary fibroelastoma on cardiac magnetic resonance. Tex Heart Inst J. 2010; 37:612.

  4. Domínguez Pérez L, Fernández Elías E, Arias MA. Fatal Presentation of a Cardiac Myxoma. Rev Esp Cardiol. 2012;65(6):578-80.

  5. Elbardissi AW, Dearani JA, Daly RC, Mullany CJ, Orszulak TA, Puga FJ, et-al. Survival after resection of primary cardiac tumors: a 48-year experience. Circulation. 2008;118:S7-S15.

  6. Maraj S, Pressman GS, Figueredo VM. Primary cardiac tumors. Int J Cardiol. 2009;133:152-6.

  7. Yater WM. Tumors of the heart and pericardium: pathology, symptomatology and report of nine cases. Arch Intern Med. 1931;48(4):627-66.

  8. Markel ML, Waller BF, Armstrong WF. Cardiac myxoma. A review. Medicine (Baltimore). 1987;66:114-25.

  9. Acebo E, Val-Bernal F, Gómez-Román JJ, Revuelta M. Clinicopathologic study and DNA analysis of 37 cardiac myxomas. A 28-year experience. Chest. 2003 May;123(5):1379- 85.

  10. Chockalingam A, Jaganathan V, Gnanavelu G, Dorairajan S. Severe left ventricular dysfunction in left atrial mixoma . Angiology. 2006;57(1):119-22.

  11. Shapiro LM. Cardiac tumours: diagnosis and management. Heart. 2001;85:218-22.

  12. Vargas-Barrón J, Romero-Cárdenas A, Villegas M, Keirns C, Gómez-Jaume A, Delong R, et al. Transthoracic and transesophageal echocardiographic diagnosis of myxomas in the four patients. Rev Esp Cardiol. 2008;61(11):1205-9.

  13. Atalay MK, Taner AT. Gradual enhancement of a large left atrial papillary fibroelastoma on cardiac magnetic resonance. Tex Heart Inst J. 2010; 37:612.

  14. Domínguez Pérez L, Fernández Elías E, Arias MA. Fatal Presentation of a Cardiac Myxoma. Rev Esp Cardiol. 2012;65(6):578-80.

  15. Elbardissi AW, Dearani JA, Daly RC, Mullany CJ, Orszulak TA, Puga FJ, et-al. Survival after resection of primary cardiac tumors: a 48-year experience. Circulation. 2008;118:S7-S15.

  16. Maraj S, Pressman GS, Figueredo VM. Primary cardiac tumors. Int J Cardiol. 2009;133:152-6.

  17. Yater WM. Tumors of the heart and pericardium: pathology, symptomatology and report of nine cases. Arch Intern Med. 1931;48(4):627-66.

  18. Markel ML, Waller BF, Armstrong WF. Cardiac myxoma. A review. Medicine (Baltimore). 1987;66:114-25.

  19. Acebo E, Val-Bernal F, Gómez-Román JJ, Revuelta M. Clinicopathologic study and DNA analysis of 37 cardiac myxomas. A 28-year experience. Chest. 2003 May;123(5):1379- 85.

  20. Chockalingam A, Jaganathan V, Gnanavelu G, Dorairajan S. Severe left ventricular dysfunction in left atrial mixoma . Angiology. 2006;57(1):119-22.




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