Yebra LA, Cruz ECL, Gutiérrez RT, Durán GE, López PR, Chávez NG

Language: Spanish
References: 17
Page: 170-174
PDF size: 268.70 Kb.

ABSTRACT

Introduction: Cardiac tumors are rare, 50% of cases are myxomas located in the left atrium. Material and methods: Cardiovascular asymptomatic patient who observed left atrial growth in a preoperative evaluation of left atrial growth evaluated by echocardiography, compatible with atrial myxoma. The tumor was resected with a histopathological report of benign neoplastic lesion of mesenchymal lineage composed of a myxoid-type stroma, immunohistochemical staining, positive myxoid PASS. Discussion: The diagnosis and characterization of cardiac tumors is a challenge in asymptomatic patients and there are only case reports in the literature. Conclusions: Atrial myxoma is difficult to diagnose when there are no cardiac symptoms, therapeutic decisions are based on clinical criteria and image for evaluation and surgical planning.

REFERENCES

1. Secretaría de Salud. México. Diagnóstico y tratamiento de los tumores cardiacos primarios en adultos. Catálogo maestro de guías de práctica clínica IMSS-397-10. 2010,. 1-38.

2. Moreno-Ariño M, Ortiz-Santamaría V, Deudero IA, Ayats DM, Novell TF. A classsic mimicker of systemic vasculitis. Reumatol Clin. 2016; 12 (2): 103-106.

3. Tarelo SJ, Peñaloza-Guadarrama M, Villela-Caleti J, García-Cruz A, Arizmendi-Monroy DK, Reynada-Torres JL, Martínez-Ramírez L. Resultados quirúrgicos y seguimiento postoperatorio de mixomas auriculares. Arch Cardiol Mex. 2016; 86 (1): 35-40.

4. Remadi JP, Abdallah L, Triboulloy C. Huge cardiac myxoma. Ann Thorac Surg. 2017; 103: 373.

5. Carmona-Delgado VM, Deloya-Maldonado AM, Carranza-Bernal ML, Hinojosa-Pérez A, Farías-Mayen L. Resección de mixoma intracardiaco. Reporte de caso. Rev Med Inst Mex Seguro Soc. 2017; 55 (1): 110-113.

6. Nkomo VT. Cardiac myxoma: the great mimicker. JACC Cardiovasc Imaging. 2017; 10 (2): 203-206.

7. Nejah F, Mokan M, Sokol J, Mizera S, Hulman M, Kovar F, Mokan M. Acute arterial occlusions of the extremities as only one manifestation of cardiac myxoma. The Czech Society of Cardiology. 2016; e1-e4.

8. Pérez BG, Bornancini N, Salvaggio F, Porcile R. An unusual case of mesenteric ischemia in a patient with cardiac myxoma. Rev Port Cardiol. 2013; 32 (7-8): 609-612.

9. Mendoza-Chuctaya G, Montesinos-Cárdenas A. Heart failure due to giant left atrial myxoma: a case report. Horiz Med. 2017; 17 (1): 72-75.

10. Díaz AC, Méndez DC, Rodríguez GE, Soler FR, A. Rois Siso y M. Marini Díaz. Hallazgos de imagen de las masas cardiacas (parte I): protocolo de estudio y tumores benignos. Radiología. 2015; 57(6): 480-488.

11. Muzzi L, Pugliese G, D’Angeli I, Ferrari R, Laghi A, Rose D, Vecchietti F, Frati G. Giant cardiac myxooma: real-time characterization by 64-slice computed tomography. J Thoracic Cardiovasc Surg. 2009; 138: 493-495.

12. Michaud M, Wolff V, Pelletier S, Evon P, Richard S. Painful multiple mononeuropathy as a first symptom of cardiac myxoma: an inusual clinical presentation. Cardiovascular Pathology. 2015; 24: 121-123.

13. Savant D, Kahn L. Cardiac myxoma: report of a case with bizarre histiocytic infiltration. Cardiovasc Pathol. 2017; 24: 11-13.

14. Shi-Min Yuan. Cardiac myxoma presenting with fever of unknown origin. Cor Et Vasa. 2016; 58: 474-477.

15. Imbalzano E, Di Bella G, Casale M, Boretti I, Manganaro R, Lamari A et al. Angina pectoris: First manifestation of a left atrial myxoma. International Journal of Cardiology. 2014; 172: e165-e166.

16. Gentille LD, García LF. Mixoma auricular izquierdo y síndrome constitucional. Med Clin (Barc). 2011; 136 (14): 652.

17. Franco MA, San Martín GM, Vega OM, García NM. Mixoma auricular. Med Clin (Barc). 2014; 142 (4): 7.