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      Biatrial Recurrence of Two Independently Growing Cardiac Myxoma in a Patient with Multiple Tumor Disease

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          Abstract

          We report the case of a 56-year-old female patient with biatrial recurrence of cardiac myxoma and extensive comorbidities. In the literature, only few cases of biatrial myxoma can be found and they generally describe a single tumor reaching both atria. We found two independently growing cardiac myxomas of both atria.

          Most cited references5

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          Cardiac myxomas.

          K Reynen (1995)
          Although cardiac myxomas are histologically benign, they may be lethal because of their strategic position. They can mimic not only every cardiac disease but also infective, immunologic, and malignant processes. Myxomas must therefore be included in the differential diagnosis of valvular heart disease, cardiac insufficiency, cardiomegaly, bacterial endocarditis, disturbances of ventricular and supraventricular rhythm, syncope, and systemic or pulmonary embolism. The symptoms depend on the size, mobility, and location of the tumor. Echocardiography, including the transesophageal approach, is the most important means of diagnosis; CT and MRI may also be helpful. Coronary arteriography in patients over 40 years of age is generally required to rule out concomitant coronary artery disease. Surgical removal of the tumor should be performed as soon as possible; the long-term prognosis is excellent, and recurrences are rare. In follow-up examinations as well, echocardiography is essential.
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            Neoplastic heart disease -- the Muenster experience with 108 patients.

            Tumours of the heart are rare. Different histological subtypes are known. The most common tumour entity is benign cardiac myxoma. Malignant heart tumours are less common. Tumours originating in other organs such as the kidney may also affect the heart by tumour progression via the inferior caval vein. A large experience with surgical treatment of different types of heart tumours is presented.
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              The distribution patterns of biatrial myxomas.

              Biatrial myxomas are extremely rare, and by 1970 only three of eight attempts at removal had been successful. Another successful removal, the difficulty of establishing the biatrial nature of a myxoma by echocardiography, and a summary of the distribution patterns of biatrial myxomas are presented here. In more than 50% of patients, both pedicles grew into separate atrial chambers from a common location in the atrial septum. The surgical implications are discussed.
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                Author and article information

                Journal
                Thorac Cardiovasc Surg Rep
                Thorac Cardiovasc Surg Rep
                10.1055/s-00024355
                The Thoracic and Cardiovascular Surgeon Reports
                Georg Thieme Verlag KG (Stuttgart · New York )
                2194-7635
                2194-7643
                26 March 2014
                December 2014
                : 3
                : 1
                : 35-37
                Affiliations
                [1 ]Division of Cardiac Surgery, Department of Cardiothoracic Surgery, Universitätsklinikum Münster, Münster, Germany
                Author notes
                Address for correspondence Stefan R.B. Schneider, MD Division of Cardiac Surgery, Department of Cardiothoracic Surgery Universitätsklinikum Münster, Albert-Schweitzer-Campus 1 Gebäude A1, 48149 MünsterGermany stefan.schneider@ 123456ukmuenster.de
                Article
                130060crc
                10.1055/s-0034-1371393
                4360675
                9184e19d-a3ee-477f-b558-4dbed5197cd4
                © Thieme Medical Publishers
                History
                : 17 November 2013
                : 27 December 2013
                Categories
                Article

                cardiac tumor,cardiac myxoma
                cardiac tumor, cardiac myxoma

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