Nonvalvular right atrial papillary fibroelastoma
| Autor: | Asimul Ansari, Marin Sekosan, Emad Uddin Hakemi, Jennifer Bero |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Diagnostic Imaging
Pulmonary and Respiratory Medicine medicine.medical_specialty Fibroma Right atrial law.invention Diagnosis Differential Heart Neoplasms Coronary artery disease law medicine Cardiopulmonary bypass Humans Heart Atria cardiovascular diseases business.industry Echogenicity Middle Aged medicine.disease medicine.anatomical_structure Papillary fibroelastoma cardiovascular system Female Surgery Histopathology Radiology Transthoracic echocardiogram Cardiology and Cardiovascular Medicine business Interatrial septum |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 145:e71-e73 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/j.jtcvs.2013.02.077 |
| Popis: | We present the case of a 61-year-old woman with a previous history of hypertension and diabetes mellitus. The patient was admitted for acute cholecystitis, which was confirmed radiologically by a computed tomography scan with contrast that also showed an incidental right atrial filling defect. A transthoracic echocardiogram showed a 20 3 22-mm spheric echogenic mass in the right atrium with mild mitral annular calcification. Surgical resection was planned using preoperative coronary angiography, which showed no evidence of coronary artery disease. She underwent surgical resection through a right atriotomy and a cardiopulmonary bypass without any adverse events. Grossly, the tumor was a 4 3 3-cm, cauliflower-shaped, purple-colored mass attached to the interatrial septum (Figure 1). A bovine pericardial patch was used to repair the resultant defect. Histopathology showed numerous papillae with endocardial lining and cores containing myocytes as well as scattered elastic fibers (Figure 2). The postoperative period was complicated by an atypical atrial flutter that was treated medically. |
| Databáze: | OpenAIRE |
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