Myxoma - Revision history

Codjwill: /* Evaluation */

2024-07-22T01:44:36Z

Evaluation

← Older revision		Revision as of 01:44, 22 July 2024
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	[[File:PMC5412748 JCE-27-33-g007.png\|thumb\| Left atrial myxomas. (a) Parasternal long-axis view showing wedging of the myxoma into the mitral valve; (b) same case (four chamber view); (c) three-dimensional transesophageal echocardiography visualization of a left atrium myxoma attached to the posterior wall of the left atrium proximal to the pulmonary vein; (d) transesophageal echocardiography four chamber view of a large left atrium myxoma obstructing the mitral valve.]]		[[File:PMC5412748 JCE-27-33-g007.png\|thumb\| Left atrial myxomas. (a) Parasternal long-axis view showing wedging of the myxoma into the mitral valve; (b) same case (four chamber view); (c) three-dimensional transesophageal echocardiography visualization of a left atrium myxoma attached to the posterior wall of the left atrium proximal to the pulmonary vein; (d) transesophageal echocardiography four chamber view of a large left atrium myxoma obstructing the mitral valve.]]
	===Workup===		===Workup===
			*Transthoracic echocardiogram
			*Transesophageal echocardiogram
			*Cardiac MRI

	===Diagnosis===		===Diagnosis===

2024-07-22T01:43:33Z

Disposition

← Older revision		Revision as of 01:43, 22 July 2024
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	==Disposition==		==Disposition==
			*Most often admit for further management including potential anticoagulation and resection

	==See Also==		==See Also==

2023-03-01T17:15:33Z

References

2023-01-04T17:31:48Z

Evaluation

← Older revision		Revision as of 17:31, 4 January 2023
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	==Evaluation==		==Evaluation==
	[[File:PMC4582919 amjcaserep-16-645-g001.png\|thumb\|(A) Cardiac MRI showing atrial myxoma during systole. (B) Cardiac MRI showing atrial myxoma during diastole. RA – right atrium; RV – right ventricle; LA – left atrium; LV – left ventricle; arrow – myxoma.]]		[[File:PMC4582919 amjcaserep-16-645-g001.png\|thumb\|(A) Cardiac MRI showing atrial myxoma during systole. (B) Cardiac MRI showing atrial myxoma during diastole. RA – right atrium; RV – right ventricle; LA – left atrium; LV – left ventricle; arrow – myxoma.]]
			[[File:PMC5412748 JCE-27-33-g007.png\|thumb\| Left atrial myxomas. (a) Parasternal long-axis view showing wedging of the myxoma into the mitral valve; (b) same case (four chamber view); (c) three-dimensional transesophageal echocardiography visualization of a left atrium myxoma attached to the posterior wall of the left atrium proximal to the pulmonary vein; (d) transesophageal echocardiography four chamber view of a large left atrium myxoma obstructing the mitral valve.]]
	===Workup===		===Workup===

2023-01-04T17:25:20Z

Evaluation

← Older revision		Revision as of 17:25, 4 January 2023
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	==Evaluation==		==Evaluation==
			[[File:PMC4582919 amjcaserep-16-645-g001.png\|thumb\|(A) Cardiac MRI showing atrial myxoma during systole. (B) Cardiac MRI showing atrial myxoma during diastole. RA – right atrium; RV – right ventricle; LA – left atrium; LV – left ventricle; arrow – myxoma.]]
	===Workup===		===Workup===

2023-01-04T17:22:46Z

Background

← Older revision		Revision as of 17:22, 4 January 2023
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	==Background==		==Background==
			[[File:Myxoma.jpg\|thumb\|A myxoma: a gelatinous tumor attached by a narrow pedicle to the atrial septum. The myxoma has an irregular surface and nearly fills the left atrium.]]
	*Most common primary cardiac neoplasm		*Most common primary cardiac neoplasm
	*~80% of myxomas originate in the left atrium, with the remainder in the right atrium<ref>Kuon E, Kreplin M, Weiss W, Dahm JB. The challenge presented by right atrial myxoma. Herz. 2004 Nov;29(7):702-9. doi: 10.1007/s00059-004-2571-7. PMID: 15580325.</ref>		*~80% of myxomas originate in the left atrium, with the remainder in the right atrium<ref>Kuon E, Kreplin M, Weiss W, Dahm JB. The challenge presented by right atrial myxoma. Herz. 2004 Nov;29(7):702-9. doi: 10.1007/s00059-004-2571-7. PMID: 15580325.</ref>

2022-12-09T19:39:14Z

Diagnosis

← Older revision		Revision as of 19:39, 9 December 2022
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	===Diagnosis===		===Diagnosis===
	*Typical location of myxomas is ~~typically~~ amenable to visualization with TTE		*Typical location of myxomas is amenable to visualization with TTE

	==Management==		==Management==

2022-12-09T05:50:11Z

Management

← Older revision		Revision as of 05:50, 9 December 2022
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	==Management==		==Management==
			*Once presumptive diagnosis made, prompt resection is required due to elevated risk of embolization or cardiac complications<ref>Keeling IM, Oberwalder P, Anelli-Monti M, Schuchlenz H, Demel U, Tilz GP, Rehak P, Rigler B. Cardiac myxomas: 24 years of experience in 49 patients. Eur J Cardiothorac Surg. 2002 Dec;22(6):971-7. doi: 10.1016/s1010-7940(02)00592-4. PMID: 12467822.</ref>

	==Disposition==		==Disposition==

2022-12-09T05:49:04Z

Diagnosis

← Older revision		Revision as of 05:49, 9 December 2022
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	===Diagnosis===		===Diagnosis===
			*Typical location of myxomas is typically amenable to visualization with TTE

	==Management==		==Management==

2022-12-09T05:47:44Z

Clinical Features

← Older revision		Revision as of 05:47, 9 December 2022
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	==Clinical Features==		==Clinical Features==
			*Cardiovascular symptoms mimicking mitral valve obstruction (e.g., left atrial hypertrophy)
			*Increased risk of systemic embolization
			*Constitutional symptoms (e.g., fever, weight loss)

	==Differential Diagnosis==		==Differential Diagnosis==