Rapidly Growing Intra-Cardiac Mass Mimicking a Local Recurrence of Lung Cancer or a Thrombus in the Left Atrium

  • Tae Yun Kim Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Jeonju, Korea
  • Kyung Hwa Kim Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea
Keywords: atrial myxoma

Abstract

Cardiac myxoma typically is thought to be a slow-growing, benign primary. Atrial myxomas can lead to many complications and can also mimic mitral stenosis, infective endocarditis, and other vascular diseases associated with systemic embolization. A 75-year-old woman with a history of lung cancer (pT1cN1, adenocarcinoma), atrial fibrillation, and a cerebral infarction presented with dysarthria and visual disturbances. In our case, we had to consider some questionable issues with the left atrial mass, and whether the recurrence of cerebral events was due to the thrombotic material in the left atrium or from locally recurrent lung cancer from the stump margin of the previously resected left superior pulmonary vein. We present a case with a rapidly-growing left atrial myxoma with a growth rate of 12.60 mm/month, rather than a thrombus or local recurrence of tumor under a medication of non-VKA oral antagonists.

References

Andreua P, Parrillab G, Arribasa JM, García-Villalba B, Lucas JJ, Garcia Navarro M, Marín F, Gutierrez F, Moreno A. 2013. Neurological manifestations of cardiac myxoma: Experience in a referral hospital. Neurologia. Nov-Dec;28(9):529-34.

Hammami R, Abid L, Mallek S, Kharrat I, Ellouz M, Hentati M, Frikha I, Kammoun S. 2012. A neovascularized left atrial mass. Case Rep Med. 2012:518539.

Jeroen Walpot, Bharati Shivalkar, Inez Rodrigus, W. Hans Pasteuning, Raymond Hokken. 2010. Atrial Myxomas Grow Faster Than We Think. Echocardiography 27:E128-E131.

Nobuhiko Haruki, Takeshi Onohara, Daiki Tsujimoto, Kazuhiko Iitsuka, Yoshiharu Kinugasa, Masahiko Kato, Motonobu Nishimura, Kazuhiro Yamamoto. 2018. Rapid-Growing Right Atrial Myxoma 7 Months After Catheter Ablation Under Anticoagulation Therapy - Serial Echocardiography and Computed Tomography. Circ J. Sep 25;82(10):2682-2683.

Reynen K. 1995. Cardiac myxomas. New Engl J Med. 333(24):1610–7.

Published
2019-08-26
How to Cite
Kim, T. Y., & Kim, K. H. (2019). Rapidly Growing Intra-Cardiac Mass Mimicking a Local Recurrence of Lung Cancer or a Thrombus in the Left Atrium. The Heart Surgery Forum, 22(5), E317-E318. https://doi.org/10.1532/hsf.2479
Section
Articles