Surgical treatment in a rare coexistence of rheumatic mitral stenosis and left atrial myxoma: a case report
https://doi.org/10.29001/2073-8552-2023-38-2-281-285
Abstract
The most frequent benign cardiac tumor is a cardiac myxoma with its favorite location in left atrium. The disease has no specific symptoms and requires paraclinical diagnostic methods. We report a rare case of the left atrial myxoma with dynamic mitral valve obstruction symptoms associated with rheumatic mitral stenosis and chronic obstructive pulmonary disease. There are difficulties with interpretation of the case due to similarity of clinical presentation the diseases.
Keywords
About the Authors
V. V. EvtushenkoRussian Federation
Vladimir V. Evtushenko, Dr. Sci. (Med.), Cardiovascular Surgeon, Department of Cardiac Surgery
111 a, Kievskaya str., Tomsk, 634012, Russian Federation
A. N. Zhilina
Russian Federation
Aleksandra N. Zhilina - Medical Resident, Department of Cardiac Surgery
111 a, Kievskaya str., Tomsk, 634012, Russian Federation
Yu. N. Chernykh
Russian Federation
Yulia N. Chernykh - Cardiologist, Department of Cardiac Surgery
111 a, Kievskaya str., Tomsk, 634012, Russian Federation
V. A. Katkov
Russian Federation
Vadim A. Katkov - Sonologist, Department of Functional and Ultrasound Diagnostics
111 a, Kievskaya str., Tomsk, 634012, Russian Federation
References
1. Butany J., Nair V., Naseemuddin A., Nair G.M., Catton C., Yau T. Cardiac tumours: diagnosis and management. Lancet Oncol. 2005;6(4):219–228. DOI: 10.1016/S1470-2045(05)70093-0.
2. Elbardissi A.W., Dearani J.A., Daly R.C., Mullany C.J., Orszulak T.A., Puga F.J. et al. Survival after resection of primary cardiac tumors: a 48-year experience. Circulation. 2008;118(14):7–15. DOI:10.1161/CIRCULATIONAHA.107.783126.
3. Wang J.G., Li Y.J., Liu H., Li N.N., Zhao J., Xing X.M. Clinicopathologic analysis of cardiac myxomas: Seven years ҆ experience with 61 patients. J. Thorac. Dis. 2012;4(3):272–283. DOI: 10.3978/j.issn.2072-1439.2012.05.07.
4. Garatti A., Nano G., Canziani A., Gagliardotto P., Mossuto E., Frigiola A. et al. Surgical excision of cardiac myxomas: twenty years experience at a single institution. Ann. Thorac. Surg. 2012;93(3):825–831. DOI: 10.1016/j.athoracsur.2011.11.009.
5. Shah I.K., Dearani J.A., Daly R.C., Suri R.M., Park S.J., Joyce L.D. et al. Cardiac Myxomas: A 50-year experience with resection and analysis of risk factors for recurrence. Ann. Thorac. Surg. 2015;100(2):495–500. DOI: 10.1016/j.athoracsur.2015.03.007.
6. Thyagarajan B., Kumar M.P., Patel S., Agrawal A. Extracardiac manifestations of atrial myxomas. J. Saudi Heart Assoc. 2017;29(1):37–43. DOI: 10.1016/j.jsha.2016.07.003.
7. Cho J., Quach S., Reed J., Osian O. Case report: left atrial Myxoma causing elevated C-reactive protein, fatigue and fever, with literature review. BMC Cardiovasc. Disord. 2020;20(119). DOI: 10.1186/s12872-020-01397-1.
8. Tsoi E.I., Falkovskaya A.Yu., Evtushenko V.V., Mordovin V.F. A case of clinically malignant rapid-progressive cardiac myxoma after COVID-19 infection. Kardiologiia. 2022;62(9):74–78. (In Russ.). DOI: 10.18087/cardio.2022.9.n1624.
9. Mendoza C.E., Rosado M.F., Bernal L. The role of interleukin-6 in cases of cardiac myxoma. Clinical features, immunologic abnormalities, and a possible role in recurrence. Tex. Heart Inst. J. 2001;28(1):3–7. URL: https://pubmed.ncbi.nlm.nih.gov/11330738/ (12.01.2023).
10. Seagle R.L., Nomeir A.M., Watts L.E. Left atrial myxoma associated with rheumatic mitral stenosis. Clin. Cardiol. 1984;7(6):370–372. DOI: 10.1002/clc.4960070609.
11. Moustafa S., Bégin L.R., Souliere V. Image. Inadvertent coexistence of atrial myxoma and mitral stenosis. Arch. Cardiovasc. Dis. 2009;102(6–7):583–584. DOI: 10.1016/j.acvd.2009.02.010.
Review
For citations:
Evtushenko V.V., Zhilina A.N., Chernykh Yu.N., Katkov V.A. Surgical treatment in a rare coexistence of rheumatic mitral stenosis and left atrial myxoma: a case report. Siberian Journal of Clinical and Experimental Medicine. 2023;38(2):281-285. (In Russ.) https://doi.org/10.29001/2073-8552-2023-38-2-281-285