Atrial myxoma: case report and a review of the literature
| Autor: | Siddique Patel M, Henning Rj, Robert L Percell |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty animal diseases Physical examination Transesophageal echocardiogram Asymptomatic Intracardiac injection Heart Neoplasms Internal medicine medicine Humans cardiovascular diseases Heart Atria neoplasms medicine.diagnostic_test business.industry virus diseases Myxoma medicine.disease Occult Primary tumor Treatment Outcome Embolism cardiovascular system Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart disease (Hagerstown, Md.). 5(3) |
| ISSN: | 1521-737X |
| Popis: | Atrial myxomas are the most common benign primary tumor of the heart and occur in as many as 3 in 1000 patients. These tumors are a major cause of patient morbidity and mortality. Although the majority of atrial myxomas occur in the left atrium, 3 separate familial myxoma syndromes can result in multiple myxomas in atypical locations. Approximately 50% of patients with myxomas may experience symptoms due to central or peripheral embolism or intracardiac obstruction, but 10% of patients may be completely asymptomatic. Screening for myxomas should involve a thorough history and physical examination and a transthoracic and/or transesophageal echocardiogram. Transthoracic echocardiography is approximately 95% sensitive for the detection of cardiac myxomas, and transesophageal echocardiography approaches 100% sensitivity. Though the majority of atrial myxomas are sporadic, it is imperative that first-degree relatives of patients with documented myxomas undergo screening for occult myxomas. Surgical removal of the myxoma is the treatment of choice and usually curative; however, myxoma recurrence does occur and is most frequently associated with a familial syndrome. |
| Databáze: | OpenAIRE |
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