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A Large Right Atrial Myxoma Associated With Atrial Flutter Rhythm

Year 2010, Volume: 13 Issue: 1, 27 - 28, 01.01.2009

Ahmet Fiaflmazel Türek Onur Ahmet Kavlak Ela Fiahinbafl

Abstract

A 22 year-old man presented to the emergency unit with the complaint of difficulty in breathing. In the physical exam, dyspnea and orthopnea were found. In the electocardiographic exam (ECG) atrial flutter rhythm was seen. The transthoracic echocardiographic exam revealed a large atrial mass that was originating from interatrial septum. During surgery, complete surgical removal of the right atrial mass was successfully performed under moderate hypothermia. Histological investigations revealed a mass of 15 x 3 cm in diameter and the pathological examination showed that the lesion is a myxoma. Twelve months after surgical excision, clinical and echocardiographical follow-up showed a satisfactory exercise tolerance, sinus rhythm in ECG exam, and cardiac functions within normal limits.

Keywords

Right atrial myxoma; atrial flutter

References

  • Ribbert H. Über das Myxom (about the myxom). Frankfurter Zschr Pathol. 1908;4:30–48
  • Reynen K. Cardiac myxomas N Engl J Med 1995;333:1610-161 33.. Crafoord C.L. Discussion on the results of mitral commissu- rotomy. In: Lam C.R., ed. Proceedings of the International Symposium on Cardiovascular Surgery, Henry Ford Hospital, Detroit, MI. Philadelphia, PA: W.B. Saunders Co, 1955:202-211 44.. Reardon MJ, Smythe WR. Cardiac neoplasms. In: Cohn LH, Edmunds LR, Cardiac surgery in the adult, Second edition, 2003:1374
  • Carney JA: Differences between nonfamilial and familial car- diac myxoma. Am J Surg Pathol 1985; 64:53.
  • Iga K, Izumi C, Konishi T. Rapid growth of a left atrial myxo- maSerial two-dimensional echocardiographic observation over eighteen months. Int J Cardiol 1997;61:85-87
  • Vassiliadis N., Vassiliadis K., Karkavelas G. Sudden death due to cardiac myxoma. Med Sci Law 1997;37:76-78
  • Cilliers A.M., van Unen H., Lala S., Vanderdonck K.H., Hart- man E. Massive biatrial myxomas in a child. Pediatr Cardiol 1999;20:150-151. 99.. Powers JC, Falkoff M, Heinle RA, et al: Familial cardiac myxoma: Emphasis on unusual clinical manifestations. J Tho- rac Cardiovasc Surg 1979; 77:782
  • Peters MN, Hall RJ, Cooley DA, et al: The clinical syndro- me of atrial myxoma. JAMA 1974; 230:695.

Atrial Flutter Ritmi ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma

Year 2010, Volume: 13 Issue: 1, 27 - 28, 01.01.2009

Ahmet Fiaflmazel Türek Onur Ahmet Kavlak Ela Fiahinbafl

Abstract

22 yafl›nda erkek hasta solunum s›k›nt›s› ile acil servisimize baflvurdu. Fizik muayenesinde, dispne ve ortopne saptand›. Elektrokardiyografisinde (EKG) atrial flutter ritmi gözlendi. Transtorasik ekokardiografisinde sa¤ atriuma yerleflmifl ve interatrial septumdan kaynaklanan bir kitle görüldü. Operasyon s›ras›nda orta dereceli hipotermi uygulanarak sa¤ atriumdaki kitle baflar›l› bir flekilde ç›kart›ld›. 15 x 3 cm çap›ndaki kitlenin histolojik incelemesi atrial miksoma olarak de¤erlendirdi. Cerrahi olarak ç›kart›lmas›ndan 12 ay sonra, klinik ve ekokardiografik takiplerinde yeterli egzersiz tolerans›, EKG'de sinüs ritmi ve normal s›n›rlar içinde kardiyak fonksiyonlar gözlendi.

Keywords

Sa¤ atrial miksoma atrial flutter

References

  • Ribbert H. Über das Myxom (about the myxom). Frankfurter Zschr Pathol. 1908;4:30–48
  • Reynen K. Cardiac myxomas N Engl J Med 1995;333:1610-161 33.. Crafoord C.L. Discussion on the results of mitral commissu- rotomy. In: Lam C.R., ed. Proceedings of the International Symposium on Cardiovascular Surgery, Henry Ford Hospital, Detroit, MI. Philadelphia, PA: W.B. Saunders Co, 1955:202-211 44.. Reardon MJ, Smythe WR. Cardiac neoplasms. In: Cohn LH, Edmunds LR, Cardiac surgery in the adult, Second edition, 2003:1374
  • Carney JA: Differences between nonfamilial and familial car- diac myxoma. Am J Surg Pathol 1985; 64:53.
  • Iga K, Izumi C, Konishi T. Rapid growth of a left atrial myxo- maSerial two-dimensional echocardiographic observation over eighteen months. Int J Cardiol 1997;61:85-87
  • Vassiliadis N., Vassiliadis K., Karkavelas G. Sudden death due to cardiac myxoma. Med Sci Law 1997;37:76-78
  • Cilliers A.M., van Unen H., Lala S., Vanderdonck K.H., Hart- man E. Massive biatrial myxomas in a child. Pediatr Cardiol 1999;20:150-151. 99.. Powers JC, Falkoff M, Heinle RA, et al: Familial cardiac myxoma: Emphasis on unusual clinical manifestations. J Tho- rac Cardiovasc Surg 1979; 77:782
  • Peters MN, Hall RJ, Cooley DA, et al: The clinical syndro- me of atrial myxoma. JAMA 1974; 230:695.
There are 7 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Ahmet Fiaflmazel This is me

Türek Onur Ahmet This is me

Kavlak Ela Fiahinbafl This is me

Publication Date January 1, 2009
Published in Issue Year 2010 Volume: 13 Issue: 1

Cite

APA Fiaflmazel, A. ., Ahmet, T. O. ., & Fiahinbafl, K. E. . (2009). Atrial Flutter Ritmi ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma. Koşuyolu Kalp Dergisi, 13(1), 27-28.
AMA Fiaflmazel A, Ahmet TO, Fiahinbafl KE. Atrial Flutter Ritmi ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma. Koşuyolu Kalp Dergisi. January 2009;13(1):27-28.
Chicago Fiaflmazel, Ahmet, Türek Onur Ahmet, and Kavlak Ela Fiahinbafl. “Atrial Flutter Ritmi Ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma”. Koşuyolu Kalp Dergisi 13, no. 1 (January 2009): 27-28.
EndNote Fiaflmazel A, Ahmet TO, Fiahinbafl KE (January 1, 2009) Atrial Flutter Ritmi ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma. Koşuyolu Kalp Dergisi 13 1 27–28.
IEEE A. . Fiaflmazel, T. O. . Ahmet, and K. E. . Fiahinbafl, “Atrial Flutter Ritmi ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma”, Koşuyolu Kalp Dergisi, vol. 13, no. 1, pp. 27–28, 2009.
ISNAD Fiaflmazel, Ahmet et al. “Atrial Flutter Ritmi Ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma”. Koşuyolu Kalp Dergisi 13/1 (January 2009), 27-28.
JAMA Fiaflmazel A, Ahmet TO, Fiahinbafl KE. Atrial Flutter Ritmi ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma. Koşuyolu Kalp Dergisi. 2009;13:27–28.
MLA Fiaflmazel, Ahmet et al. “Atrial Flutter Ritmi Ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma”. Koşuyolu Kalp Dergisi, vol. 13, no. 1, 2009, pp. 27-28.
Vancouver Fiaflmazel A, Ahmet TO, Fiahinbafl KE. Atrial Flutter Ritmi ile Birlikte Görülen Büyük Sa¤ Atrial Miksoma. Koşuyolu Kalp Dergisi. 2009;13(1):27-8.