Öz
Kardiyak miksoma kalbin en sık tanı alan iyi huylu tümörüdür. Genellikle sol atrium içinde saptanır ve olguların %75’ inde tipik olarak fossa ovalisten, %23’ ünde sağ atriumdan ve sadece %2’ sinde ventriküllerden köken alır. Belirtiler miksomanın boyutu, hareketlilik derecesi ve yerleştiği yere bağlıdır. Nörolojik komplikasyonlar hastaların %20-25’ inde gözlenir. Bu yazıda sağ ventrikül miksomaya eşlik eden patent foramen ovale saptanan ve inme ile komplike olan bir olgu sunuyoruz. Tedavide kardiyak kitle cerrahi olarak çıkarıldı ve patent foramen ovale kapatıldı.
Anahtar Kelimeler
Kalp cerrahisi Ekokardiyografi Görüntüleme Miksoma İnme Kapak hastalığı
Kaynakça
- Samanidis G, Khoury M, Balanika M, Perrea DN. Current challenges in the diagnosis and treatment of cardiac myxoma. Kardiol Pol. 2020; 78: 269-277.
- Khan H, Chaubey S, Uzzaman MM, Iqbal Y, Khan F, Butt S, Deshpande R, Desai J. Clinical presentation of atrial myxomas does it differ in left or right sided tumor? Int J Health Sci (Qassim). 2018; 12: 59-63.
- Lu C, Yang P, Hu J. Giant right ventricular myxoma presenting as right heart failure with systemic congestion: a rare case report. BMC Surg. 2021; 21: 64.
- Stefanou MI, Rath D, Stadler V, Richter H, Hennersdorf F, Lausberg HF, Lescan M, Greulich S, Poli S, Gawaz MP, Ziemann U, Mengel AM. Cardiac Myxoma and Cerebrovascular Events: A Retrospective Cohort Study. Front Neurol. 2018; 9: 823.
- Rao PA, Nagendra Prakash SN, Vasudev S, Girish M, Srinivas A, Guru Prasad HP, Jayakumar P, Anandaswamy VG. A rare case of right ventricular myxoma causing recurrent stroke. Indian Heart J. 2016; 68 Suppl 2 : S97-S101.
- Molnar A, Encică S, Săcui DM, Mureşan I, Trifan AC. A very rare association between giant right atrial myxoma and patent foramen ovale. Extracellular matrix and morphological aspects: a case report. Rom J Morphol Embryol. 2016; 57: 573-7.
- Van Malderen S, Kerkhove D, Tanaka K, Van Hecke W, Van Camp G. Paradoxical embolism in a patient with a large tricuspid myxoma and patent foramen ovale. Eur J Echocardiogr. 2011 Aug;12 : 641.
- Brochado B, Rodrigues P, Magalhães S, Carvalho H, Torres S. A case of a giant right ventricular myxoma in the multimodality imaging era. Acta Cardiol. 2018; 73: 104-105.
- Pemberton J, Raudkivi P. Right ventricular myxoma causing pulmonary outflow tract obstruction. Interact Cardiovasc Thorac Surg. 2012; 14 : 362-3.
- Lee KS, Kim GS, Jung Y, Jeong IS, Na KJ, Oh BS, Ahn BH, Oh SG. . Surgical resection of cardiac myxoma-a 30-year single institutional experience. J Cardiothorac Surg. 2017;12:18.
- Tamura Y, Seki T. Carney complex with right ventricular myxoma following second excision of left atrial myxoma. Ann Thorac Cardiovasc Surg. 2014; 20 Suppl: 882-4.
- Sardar MR, Lahoti A, Khaji A, Saeed W, Maqsood K, Zegel HG, Romanelli JE, McGeehin FC 3rd. Recurrent right ventricular cardiac myxoma in a patient with Carney complex: a case report. J Med Case Rep. 2014; 8: 134.
Öz
Cardiac myxoma is the most commonly diagnosed benign cardiac tumor. It is usually located in the left atrium and typically arises from the foramen ovale in approximately 75% of the cases, in the right atrium in 23%, and in the ventricles in only 2%. Symptoms depend on its size, mobility, and location. Neurological complications are seen in 20% to 25% of patients. Herein we present a case of right ventricular myxoma with patent foramen ovale which was complicated by stroke. The mass was surgically excised and patent foramen ovale was closed.
Anahtar Kelimeler
Cardiac surgery Echocardiography Imaging Myxoma Stroke Valve disease
Kaynakça
- Samanidis G, Khoury M, Balanika M, Perrea DN. Current challenges in the diagnosis and treatment of cardiac myxoma. Kardiol Pol. 2020; 78: 269-277.
- Khan H, Chaubey S, Uzzaman MM, Iqbal Y, Khan F, Butt S, Deshpande R, Desai J. Clinical presentation of atrial myxomas does it differ in left or right sided tumor? Int J Health Sci (Qassim). 2018; 12: 59-63.
- Lu C, Yang P, Hu J. Giant right ventricular myxoma presenting as right heart failure with systemic congestion: a rare case report. BMC Surg. 2021; 21: 64.
- Stefanou MI, Rath D, Stadler V, Richter H, Hennersdorf F, Lausberg HF, Lescan M, Greulich S, Poli S, Gawaz MP, Ziemann U, Mengel AM. Cardiac Myxoma and Cerebrovascular Events: A Retrospective Cohort Study. Front Neurol. 2018; 9: 823.
- Rao PA, Nagendra Prakash SN, Vasudev S, Girish M, Srinivas A, Guru Prasad HP, Jayakumar P, Anandaswamy VG. A rare case of right ventricular myxoma causing recurrent stroke. Indian Heart J. 2016; 68 Suppl 2 : S97-S101.
- Molnar A, Encică S, Săcui DM, Mureşan I, Trifan AC. A very rare association between giant right atrial myxoma and patent foramen ovale. Extracellular matrix and morphological aspects: a case report. Rom J Morphol Embryol. 2016; 57: 573-7.
- Van Malderen S, Kerkhove D, Tanaka K, Van Hecke W, Van Camp G. Paradoxical embolism in a patient with a large tricuspid myxoma and patent foramen ovale. Eur J Echocardiogr. 2011 Aug;12 : 641.
- Brochado B, Rodrigues P, Magalhães S, Carvalho H, Torres S. A case of a giant right ventricular myxoma in the multimodality imaging era. Acta Cardiol. 2018; 73: 104-105.
- Pemberton J, Raudkivi P. Right ventricular myxoma causing pulmonary outflow tract obstruction. Interact Cardiovasc Thorac Surg. 2012; 14 : 362-3.
- Lee KS, Kim GS, Jung Y, Jeong IS, Na KJ, Oh BS, Ahn BH, Oh SG. . Surgical resection of cardiac myxoma-a 30-year single institutional experience. J Cardiothorac Surg. 2017;12:18.
- Tamura Y, Seki T. Carney complex with right ventricular myxoma following second excision of left atrial myxoma. Ann Thorac Cardiovasc Surg. 2014; 20 Suppl: 882-4.
- Sardar MR, Lahoti A, Khaji A, Saeed W, Maqsood K, Zegel HG, Romanelli JE, McGeehin FC 3rd. Recurrent right ventricular cardiac myxoma in a patient with Carney complex: a case report. J Med Case Rep. 2014; 8: 134.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Haziran 2024 |
| Kabul Tarihi | 2 Nisan 2024 |
| Yayımlandığı Sayı | Yıl 2024Cilt: 46 Sayı: 2 |
