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Cardiac myxoma: single tertiary centre experience

Polona Kacar

Polona Kacar

  • Department of Cardiology, University Medical Center LjubljanaLjubljana, Slovenia
  • Faculty of Medicine, University of LjubljanaLjubljana, Slovenia
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Kacar, Polona
, 
Nejc Pavsic

Nejc Pavsic

  • Department of Cardiology, University Medical Center LjubljanaLjubljana, Slovenia
  • Faculty of Medicine, University of LjubljanaLjubljana, Slovenia
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Pavsic, Nejc
, 
Mojca Bervar

Mojca Bervar

  • Department of Cardiology, University Medical Center LjubljanaLjubljana, Slovenia
  • Faculty of Medicine, University of LjubljanaLjubljana, Slovenia
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Bervar, Mojca
, 
Zvezdana Dolenc Strazar

Zvezdana Dolenc Strazar

Institute of Pathology, Faculty of Medicine, University of LjubljanaLjubljana, Slovenia
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Strazar, Zvezdana Dolenc
, 
Vesna Zadnik

Vesna Zadnik

Epidemiology and Cancer Registry, Institute of Oncology LjubljanaLjubljana, Slovenia
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Zadnik, Vesna
, 
Matija Jelenc

Matija Jelenc

Department of Cardiovascular Surgery, University Medical Center LjubljanaLjubljana, Slovenia
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Jelenc, Matija
 und 
Katja Prokselj

Katja Prokselj

  • Department of Cardiology, University Medical Center LjubljanaLjubljana, Slovenia
  • Faculty of Medicine, University of LjubljanaLjubljana, Slovenia
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Prokselj, Katja
  
20. Okt. 2022
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Artikel-Kategorie: Research Article
Online veröffentlicht: 20. Okt. 2022
Seitenbereich: 535 - 540
Eingereicht: 24. Juni 2022
Akzeptiert: 12. Sept. 2022
DOI: https://doi.org/10.2478/raon-2022-0041
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© 2022 Polona Kacar, Nejc Pavsic, Mojca Bervar, Zvezdana Dolenc Strazar, Vesna Zadnik, Matija Jelenc, Katja Prokselj, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1

Distribution of patients diagnosed per year.
Distribution of patients diagnosed per year.

Figure 2

Transthoracic echocardiography, apical 4-chamber view. Cardiac mass in left atrium is attached to the interatrial septum in the region of the fossa ovalis (arrow). Histopathological characterization confirmed cardiac myxoma. LA = left atrium , LV = left ventricle; RA = right atrium; RV = right ventricle
Transthoracic echocardiography, apical 4-chamber view. Cardiac mass in left atrium is attached to the interatrial septum in the region of the fossa ovalis (arrow). Histopathological characterization confirmed cardiac myxoma. LA = left atrium , LV = left ventricle; RA = right atrium; RV = right ventricle

Figure 3

Cardiac magnetic resonance, late gadolinium enhancement, 4-chamber view. Asterix – Large mass occupying the entire left atrium with heterogeneous pattern of enhancement, consistent with cardiac myxoma. LV = left ventricle; RA = right atrium; RV = right ventricle
Cardiac magnetic resonance, late gadolinium enhancement, 4-chamber view. Asterix – Large mass occupying the entire left atrium with heterogeneous pattern of enhancement, consistent with cardiac myxoma. LV = left ventricle; RA = right atrium; RV = right ventricle

Figure 4

Abundant myxoid stroma with clusters of myxoma cells forming cords and ring structures (HE 100x).
Abundant myxoid stroma with clusters of myxoma cells forming cords and ring structures (HE 100x).

Figure 5

(A) Intraoperative view of myxoma protruding through fossa ovalis with its smaller part in the right atrium (arrow) and larger part in left atrium (asterisk). (B) The left atrial part of the myxoma.
(A) Intraoperative view of myxoma protruding through fossa ovalis with its smaller part in the right atrium (arrow) and larger part in left atrium (asterisk). (B) The left atrial part of the myxoma.

Demographic and clinical characteristics

Characteristic n (%)
Sex
Female 25 (64)
Rhythm
Sinus rhythm 37 (95)
Clinical presentation*
Dyspnea 12 (31)
Chest pain 6 (15)
Embolism 7 (18)
- Cerebrovascular 6
- Coronary artery 1
Palpitations 1 (3)
Constitutional signs 2 (5)
Asymptomatic 11 (28)

Surgical results and follow-up

Characteristic n (%)
Location
- Left atrium 33 (85)
- Right atrium 6 (15)
Post-operative complications 7 (18)
- Arrhythmia* 6 (86)
- Pleural effusion* 1
- Surgical site infection 1
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Englisch
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Medizin, Klinische Medizin, Allgemeinmedizin, Innere Medizin, Hämatologie, Onkologie, Radiologie
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