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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...

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Autores principales: Ranjan, Pragya, LaRocca, Gina, Sanz, Javier, Croft, Lori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
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.
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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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