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Journal of Education, Health and Sport

Left atrial myxoma with concomitant coronary artery stenosis: comprehensive diagnosis and treatment
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  • Left atrial myxoma with concomitant coronary artery stenosis: comprehensive diagnosis and treatment
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  3. Vol. 12 No. 2 (2022) /
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Left atrial myxoma with concomitant coronary artery stenosis: comprehensive diagnosis and treatment

Authors

  • Erwin Ciechański Department of Cardiology Stefan Wyszyński Regional Specialist Hospital, Lublin; Department of Toxicology Medical University of Lublin https://orcid.org/0000-0003-0058-896X
  • Krystian Ciechański Department of Toxicology Medical University of Lublin; Department of Gastroenerology Stefan Wyszyński Regional Specialist Hospital, Lublin https://orcid.org/0000-0003-1099-3520
  • Jarosław Szponar Clinical Department of Toxicology and Cardiology, Stefan Wyszyński Regional Specialist Hospital, Lublin https://orcid.org/0000-0001-9915-0719
  • Piotr Kołątaj Department of Cardiology Stefan Wyszyński Regional Specialist Hospital, Lublin
  • Marcin Szczasny Department of Cardiology Stefan Wyszyński Regional Specialist Hospital, Lublin https://orcid.org/0000-0003-1311-2135
  • Andrzej Głowniak Department and Clinic of Cardiology Medical University of Lublin https://orcid.org/0000-0001-5398-4179
  • Justyna Szumiło Chair and Department of Clinical Pathomorphology, Medical University of Lublin https://orcid.org/0000-0003-2315-4208

DOI:

https://doi.org/10.12775/JEHS.2022.12.02.008

Keywords

cardiac tumor, myxoma, heart failure, CABG

Abstract

 

A 69-year-old patient was admitted to the Department of Cardiology due to an accidental finding on a chest X-ray, enlarged heart outline, accompanied by worsening of heart failure to NYHA II with LVEF, about 30%. In the X-ray description, an enlargement of the left atrium silhouette with local calcifications. The patient underwent TTE, confirming the presence of a pedunculated tumor of the left atrium attached to the ceiling measuring 3.5x3.5x2.2 cm. Due to the ischemic heart disease manifestation patient uderwent coronarography confirming the presence of single-vessel coronary artery disease with changes in the middle segment of the LAD. Patient was treated with CABG LIMA-LAD surgery and removeal the left atrial tumor. Post operation tissue material prooved the preseance of left atrium myxoma. The postoperative course was uneventful, the patient was discharged home.

 

Author Biographies

Erwin Ciechański, Department of Cardiology Stefan Wyszyński Regional Specialist Hospital, Lublin; Department of Toxicology Medical University of Lublin

Department of Cardiology Stefan Wyszyński Regional Specialist Hospital, Lublin, Poland

Department of Toxicology Medical University of Lublin

Krystian Ciechański, Department of Toxicology Medical University of Lublin; Department of Gastroenerology Stefan Wyszyński Regional Specialist Hospital, Lublin

Department of Gastroenerology Stefan Wyszyński Regional Specialist Hospital, Lublin, Poland

Department of Toxicology Medical University of Lublin

Jarosław Szponar, Clinical Department of Toxicology and Cardiology, Stefan Wyszyński Regional Specialist Hospital, Lublin

Clinical Department of Toxicology and Cardiology, Stefan Wyszyński Regional Specialist Hospital, Lublin, Poland

Piotr Kołątaj, Department of Cardiology Stefan Wyszyński Regional Specialist Hospital, Lublin

Department of Cardiology Stefan Wyszyński Regional Specialist Hospital, Lublin, Poland

Marcin Szczasny, Department of Cardiology Stefan Wyszyński Regional Specialist Hospital, Lublin

Department of Cardiology Stefan Wyszyński Regional Specialist Hospital, Lublin, Poland

Andrzej Głowniak, Department and Clinic of Cardiology Medical University of Lublin

Department and Clinic of Cardiology Medical University of Lublin

Justyna Szumiło, Chair and Department of Clinical Pathomorphology, Medical University of Lublin

Chair and Department of Clinical Pathomorphology, Medical University of Lublin

References

Nomoto N, Tani T, Konda T, Kim K, Kitai T, Ota M, et al. Primary and metastatic cardiac tumors: echocardiographic diagnosis, treatment and prognosis in a 15-years single center study. J Cardiothorac Surg. 2017 Nov;12(1):103.

Ali MU, Finkel J. Atrial Myxoma. N Engl J Med. 2018 Oct;379(16):e26.

Ando T, Goto H, Date K, Okada H, Takeda M, Kasahara K. Recurrence of cardiac myxoma in the right atrium with Carney complex following resection of myxomas in both ventricles. Gen Thorac Cardiovasc Surg. 2019 Oct;67(10):891–3.

Strecker T, Rösch J, Weyand M, Agaimy A. Primary and metastatic cardiac tumors: imaging characteristics, surgical treatment, and histopathological spectrum: a 10-year-experience at a German heart center. Cardiovasc Pathol Off J Soc Cardiovasc Pathol. 2012;21(5):436–43.

Centofanti P, Di Rosa E, Deorsola L, Dato GM, Patanè F, La Torre M, et al. Primary cardiac tumors: early and late results of surgical treatment in 91 patients. Ann Thorac Surg. 1999 Oct;68(4):1236–41.

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Published

2022-02-05

How to Cite

1.
CIECHAŃSKI, Erwin, CIECHAŃSKI, Krystian, SZPONAR, Jarosław, KOŁĄTAJ, Piotr, SZCZASNY, Marcin, GŁOWNIAK, Andrzej & SZUMIŁO, Justyna. Left atrial myxoma with concomitant coronary artery stenosis: comprehensive diagnosis and treatment. Journal of Education, Health and Sport [online]. 5 February 2022, T. 12, nr 2, s. 78–83. [accessed 28.3.2023]. DOI 10.12775/JEHS.2022.12.02.008.
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Issue

Vol. 12 No. 2 (2022)

Section

Case Reports

License

Copyright (c) 2022 Erwin Ciechański, Krystian Ciechański, Jarosław Szponar, Piotr Kołątaj, Marcin Szczasny, Andrzej Głowniak, Justyna Szumiło

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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