Articles producció científica> Medicina i Cirurgia

Right atrium mass in a 28-year-old patient with pulmonary embolism taking contraceptives

  • Identification data

    Identifier: imarina:5651808
    Authors:
    Jara-Palomares LSerrano-Gotarredona MLopez-Haldón JRodriguez-Puras MBibiloni-Lage IRuiz-Solano EOtero-Candelera R
    Abstract:
    We report the case of a 28-year-old woman taking contraceptives diagnosed with pulmonary embolism with a mass in the right atrium demonstrated by trans-thoracic echocardiogram that was not recognized on a previous angio-CT. Initially, it was thought to be a thrombus, but trans-oesophageal echocardiography and cardiac MRI showed data suggestive of cardiac neoplasm. Pericardial effusion and adjacent myocardial wall thickening noted on trans-oesophageal echocardiography were reported as signs that supported the possibility of malignancy, although cardiac MRI did not show wall infiltration signs. On the contrary, it demonstrated enhancement, which excludes the thrombotic nature of the mass and supports the diagnosis of neoplasm. The patient underwent surgery and biopsy proved that the mass was a myxoma. While myxomas are the most common among primary cardiac tumors, its attachment to the atrium free wall, far from the inter-atrium septum, the bi-lobed shape and accompanying pericardial effusion were atypical.
  • Others:

    Author, as appears in the article.: Jara-Palomares L; Serrano-Gotarredona M; Lopez-Haldón J; Rodriguez-Puras M; Bibiloni-Lage I; Ruiz-Solano E; Otero-Candelera R
    Department: Medicina i Cirurgia
    URV's Author/s: Porras Ledantes, Jose Antonio
    Keywords: Thromboembolism Pulmonary embolism Myxoma Heart neoplasm Disease Cardiac myxomas Cardiac mass
    Abstract: We report the case of a 28-year-old woman taking contraceptives diagnosed with pulmonary embolism with a mass in the right atrium demonstrated by trans-thoracic echocardiogram that was not recognized on a previous angio-CT. Initially, it was thought to be a thrombus, but trans-oesophageal echocardiography and cardiac MRI showed data suggestive of cardiac neoplasm. Pericardial effusion and adjacent myocardial wall thickening noted on trans-oesophageal echocardiography were reported as signs that supported the possibility of malignancy, although cardiac MRI did not show wall infiltration signs. On the contrary, it demonstrated enhancement, which excludes the thrombotic nature of the mass and supports the diagnosis of neoplasm. The patient underwent surgery and biopsy proved that the mass was a myxoma. While myxomas are the most common among primary cardiac tumors, its attachment to the atrium free wall, far from the inter-atrium septum, the bi-lobed shape and accompanying pericardial effusion were atypical.
    Thematic Areas: Química Peripheral vascular disease Nutrição Medicina veterinaria Medicina ii Medicina i Internal medicine Interdisciplinar General medicine Farmacia Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Cardiology and cardiovascular medicine Biodiversidade Biochemistry (medical)
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 13403478
    Author's mail: joseantonio.porras@urv.cat
    Author identifier: 0000-0001-6418-1822
    Record's date: 2023-02-22
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.jstage.jst.go.jp/article/jat/18/9/18_9258/_article
    Papper original source: Journal Of Atherosclerosis And Thrombosis. 18 (9): 829-832
    APA: Jara-Palomares L; Serrano-Gotarredona M; Lopez-Haldón J; Rodriguez-Puras M; Bibiloni-Lage I; Ruiz-Solano E; Otero-Candelera R (2011). Right atrium mass in a 28-year-old patient with pulmonary embolism taking contraceptives. Journal Of Atherosclerosis And Thrombosis, 18(9), 829-832. DOI: 10.5551/jat.9258
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Article's DOI: 10.5551/jat.9258
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2011
    Publication Type: Journal Publications
  • Keywords:

    Biochemistry (Medical),Cardiology and Cardiovascular Medicine,Internal Medicine,Peripheral Vascular Disease
    Thromboembolism
    Pulmonary embolism
    Myxoma
    Heart neoplasm
    Disease
    Cardiac myxomas
    Cardiac mass
    Química
    Peripheral vascular disease
    Nutrição
    Medicina veterinaria
    Medicina ii
    Medicina i
    Internal medicine
    Interdisciplinar
    General medicine
    Farmacia
    Educação física
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Cardiology and cardiovascular medicine
    Biodiversidade
    Biochemistry (medical)
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