Atrial Myxoma, the Substrate of Atrial Fibrillation, Accompanied by Thrombocytopenia - Perspectives for the Anticoagulation Option and a Future Surgery Intervention
Autor: | Larisa Roşan, Alexandra Cozma, Cosmin Mihai Vesa, Adriana Ardelean, Mădălina Ioana Moisi, Livia Mihelea, Marius Rus, Mircea Ioachim Popescu |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
business.industry Atrial myxoma Atrial fibrillation General Medicine 030204 cardiovascular system & hematology medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Intervention (counseling) cardiovascular system medicine cardiovascular diseases business |
Zdroj: | Internal Medicine. 15:67-73 |
ISSN: | 1220-5818 |
Popis: | Atrial myxomas are common benign tumors localized in the left atrium (85%). The diagnosis is often made during routine examination due to the fact that they are usually asymptomatic. Sometimes the complications of these benign tumors, consisting in embolic events and obstructive valvular disfunction, may be alarm signs that reveal the underlying pathological condition. We report the case of a 63-years-old female presenting with non-specific symptoms, the echocardiography was the one that showed the left atrial mass. The particularity that made this case special was the fact that the anticoagulation indication for the atrial fibrillation discovered on the ECG was correlated with the presence of the thrombocytopenia, so the final decision was to postpone it till the surgery. After the removal of the atrial tumor the sinusal rhythm was restored and the combination of beta-blockers and antiplatelet was the best therapeutic choice. |
Databáze: | OpenAIRE |
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