Large biatrial myxoma through an atrial septal defect

Blasco Turrión, S.; González Pérez, P.; Sánchez Brotons, J.A.

doi:10.1016/j.rceng.2019.04.012

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"apellidos" => "Sánchez Brotons" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cardiología, Hospital Universitario de Puerto Real, Cádiz, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mixoma biauricular gigante a través de comunicación interauricular" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1120 "Ancho" => 905 "Tamanyo" => 98399 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "." ] ] ] "textoCompleto" => "Myxomas are the most common tumors of cardiac origin in the adult population and are found predominantly in the left atrium (60–80 %). Myxomas tend to grow in the direction of the flow, and biatrial myxomas are uncommon (<2.5 %).We present the case of a 67-year-old man with hypertension, diabetes, dyslipidemia and a smoking habit but no known heart disease who was hospitalized for ischemic stroke of embolic characteristics. As part of the etiological study, we performed transthoracic echocardiography (TTE) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), which revealed a tumor in the left atrium (LA) and another in the right atrium (RA), without being able to verify the continuity of the two through TTE or chest computed tomography. Transesophageal echocardiography (TEE) revealed the presence of a biatrial mass measuring 43 × 29 × 32 mm (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A), with flow through the interatrial septum (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B), compatible with left atrial myxoma, with growth towards the RA through an unknown ostium secundum atrial septal defect (ASD), confirmed through 3D TEE (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>) and cardiac magnetic resonance imaging (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>B). We successfully resected the myxoma and closed the ASD.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia>Biatrial myxomas are extremely uncommon, with only 34 cases reported to date, although only 2 were due to growth through an ASD. Most cases consist of independent masses, followed by myxomas interconnected by a thin pedicle or through the foramen ovale. Thus, although computed tomography and magnetic resonance imaging are of considerable use, TEE is essential for differentiating myxomas from other intracardiac masses, establishing its relationship with the other cardiac structures and facilitating the surgical approach." "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-04-13" "fechaAceptado" => "2019-04-17" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Blasco Turrión S, González Pérez P, Sánchez Brotons JA Mixoma biauricular gigante a través de comunicación interauricular. 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Vol. 220. Issue 7.

Pages 453-454 (October 2020)

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