Kardiyak Miksoma Olgusunda Koroner Anjiyografinin Önemi

Year 2015, Volume: 18 Issue: 2, 98 - 100, 03.08.2015

Büşra Özdemir Serhat Hüseyin , Volkan Yüksel Gönül Sağıroğlu

Abstract

Atriyal
miksomalar ile koroner arter hastalığı arasında bir ilişki bulunmamasına rağmen
nadiren birlikte görülebilmektedirler. Miksomalar görüldükleri yaş grubu ve
çoğu hastada koroner arter hastalığı risk faktörlerinin mevcut olması
nedeniyle, operasyon öncesi bu hastaların asemptomatik olsalar bile koroner
anjiyografi ile değerlendirilmeleri gerekmektir. Ayrıca anjiyografi ile
miksomanın vaskülaritesini ve miksomaya bağlı ortaya çıkan koroner emboliyi de
değerlendirme şansımız olabilmektedir. Bizde kliniğimize baş dönmesi şikayeti
ile gelen ve sol atriyal miksoma saptanan bir hastada, asemptomatik koroner
arter hastalığının preoperatif koroner anjiyografi ile tespit edilmesinin
önemini gösteren bir olguyu sunmayı amaçladık.

Keywords

Atriyal miksoma, koroner arter hastalığı, koroner baypas cerrahisi

The Importance of Coronary Angiography in a Patient with Cardiac Myxoma

Abstract

Concomitant occurrence of atrial myxoma and coronary artery
disease is a rare entity with no established link between the two conditions.
However, coronary angiography should be considered in all patients with myxoma,
even in those with an asymptomatic course, since most of these patients harbor
risk factors for coronary artery disease due to their advanced age at the time
of diagnosis. Furthermore, angiography allows visualization of the coronary
vasculature as well as embolisms that may result from myxoma. Herein, we aimed
to present the importance of preoperative coronary angiography in asymptomatic
coronary artery disease, through a case presentation involving a patient who
was referred to our clinic with vertigo and who was consequently diagnosed with
left atrial myxoma.

Keywords

Atrial myxoma, coronary artery disease, coronary bypass surgery

References

• 1. Reynan K. Frequency of primary tumors of the heart. Am J Cardiol 1996;77:107.
• 2. Van Cleemput J, Daenen W, De Geest H. Coronary angiography in cardiac myxomas: findings in 19 consecutive cases and review of the literature. Cathet Cardiovasc Diagn 1993;29:217-20.
• 3. Sugimoto T, Ogawa K, Asada T, Mukohara N, Nishiwaki M, Higami T. Surgical treatment of left atrial myxoma with concomitant acquired heart disease. Nihon Kyobu Geka Gakkai Zasshi 1993;41:660-6.
• 4. Vazir A, Douthwaite H. Rapidly growing left atrial myxoma: a case report. J Med Case Rep 2011;5:417.
• 5. Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore) 2001;80:159-72.
• 6. Iga K, Izumi C, Konishi T. Rapid growth of a left atrial myxoma. Serial two-dimensional echocardiographic observation over eighteen months. Int J Cardiol 1997;61:85-7.
• 7. Rath S, Har-Zahav Y, Battler A, Agranat O, Neufeld HN. Coronary arterial embolus from left atrial myxoma. Am J Cardiol 1984;54:1392-3.
• 8. Caplan LR, Wityk RJ, Glass TA, Tapia J, Pazdera L, Chang HM, et al. New England Medical Center Posterior Circulation registry. Ann Neurol 2004;56:389-98.
• 9. Kaplan M, Demirtaş MM, Çimen S, Gerçekoğlu H, Yapıcı F, Özler A. Kardiyak Miksoma: 45 olguluk deneyim. Turk Gogus Kalp Dama 2002;10:11-4.
• 10. Maddali MM, Abduraz AM, Panduranga P, Kurian E. Left atrial myxoma with coronary artery disease: an unexpected preoperative finding-case report. Middle East J Anesthesiol 2011;21:413-7.
• 11. Kejriwal NK, Tan J, Ullal RR, Alvarez JM. Atrial myxoma with coexistent coronary artery disease: a report of two cases. Heart Lung Circ 2003;12:108-11.
• 12. Erdil N, Ates S, Cetin L, Demirkilic U, Sener E, Tatar H. Frequency of left atrial myxoma with concomitant coronary artery disease. Surg Today 2003;33:328-31.
• 13. Gölbaşı İ, Türkay C, Akbulut E, Gülmez H, Kabukçu M, Beyazid Ö. Koroner arter hastalığı ve sol atriyal miksomada kombine cerrahi tedavi. Turk Gogus Kalp Dama 2000;8:545-7.