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Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report
BACKGROUND : Atrial myxomas are the most common benign cardiac tumours. This case highlights an unusual presentation and complex management of a patient who was incidentally found to have a left atrial tumour concerning for a myxoma. CASE SUMMARY : A 54-year-old-woman presented with symptoms of naus...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8108618/ https://www.ncbi.nlm.nih.gov/pubmed/34104862 http://dx.doi.org/10.1093/ehjcr/ytab062 |
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author | Ranjan, Pragya LaRocca, Gina Sanz, Javier Croft, Lori |
author_facet | Ranjan, Pragya LaRocca, Gina Sanz, Javier Croft, Lori |
author_sort | Ranjan, Pragya |
collection | PubMed |
description | BACKGROUND : Atrial myxomas are the most common benign cardiac tumours. This case highlights an unusual presentation and complex management of a patient who was incidentally found to have a left atrial tumour concerning for a myxoma. CASE SUMMARY : A 54-year-old-woman presented with symptoms of nausea and vomiting and was found to have a left atrial mass incidentally in addition to a renal infarct. She was also found to have COVID-19 and the mass was initially thought to be a thrombus. With the help of multimodality imaging, it was determined that the mass was an atrial myxoma and she was started on short-term anticoagulation to prevent recurrent embolization. After 6 weeks of anticoagulation, she successfully underwent elective resection of the mass which was confirmed to be myxoma with superimposed thrombus. DISCUSSION : It is difficult to differentiate cardiac tumours from intracardiac thrombus and multimodality cardiac imaging is crucial to make an accurate diagnosis. While the treatment of atrial myxomas involves early surgical resection, it becomes more complicated with concurrent COVID-19 infection. |
format | Online Article Text |
id | pubmed-8108618 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-81086182021-05-12 Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report Ranjan, Pragya LaRocca, Gina Sanz, Javier Croft, Lori Eur Heart J Case Rep Competition Winner BACKGROUND : Atrial myxomas are the most common benign cardiac tumours. This case highlights an unusual presentation and complex management of a patient who was incidentally found to have a left atrial tumour concerning for a myxoma. CASE SUMMARY : A 54-year-old-woman presented with symptoms of nausea and vomiting and was found to have a left atrial mass incidentally in addition to a renal infarct. She was also found to have COVID-19 and the mass was initially thought to be a thrombus. With the help of multimodality imaging, it was determined that the mass was an atrial myxoma and she was started on short-term anticoagulation to prevent recurrent embolization. After 6 weeks of anticoagulation, she successfully underwent elective resection of the mass which was confirmed to be myxoma with superimposed thrombus. DISCUSSION : It is difficult to differentiate cardiac tumours from intracardiac thrombus and multimodality cardiac imaging is crucial to make an accurate diagnosis. While the treatment of atrial myxomas involves early surgical resection, it becomes more complicated with concurrent COVID-19 infection. Oxford University Press 2021-03-04 /pmc/articles/PMC8108618/ /pubmed/34104862 http://dx.doi.org/10.1093/ehjcr/ytab062 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Competition Winner Ranjan, Pragya LaRocca, Gina Sanz, Javier Croft, Lori Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report |
title | Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report |
title_full | Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report |
title_fullStr | Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report |
title_full_unstemmed | Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report |
title_short | Multimodality cardiac imaging for management of a cardiac mass in the era of COVID-19: a case report |
title_sort | multimodality cardiac imaging for management of a cardiac mass in the era of covid-19: a case report |
topic | Competition Winner |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8108618/ https://www.ncbi.nlm.nih.gov/pubmed/34104862 http://dx.doi.org/10.1093/ehjcr/ytab062 |
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