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Heart Rhythm 2021 May 10. Epub 2021 May 10.

Electrophysiology Section, Hospital of the University of Pennsylvania, Philadelphia, USA. Electronic address:

Background: Interatrial septal tachycardias (IAS-AT) following atrial fibrillation (AF) ablation or cardiac surgery are rare and their management is challenging.

Objective: To investigate the electrophysiologic features and outcomes associated with catheter ablation of IAS-AT.

Methods: We screened 338 patients undergoing catheter ablation of ATs following AF ablation or cardiac surgery. Read More

Case Rep Oncol 2021 Jan-Apr;14(1):622-627. Epub 2021 Mar 29.

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Cardiac tumors are rare, and their treatment differs interindividually regarding the histopathological proprieties and the stage of disease. Authors present a case of symptomatic cardiac melanoma metastasis that expressed an () gene amplification in a course of the disease that has not yet been reported. The frail patient with a history of pulmonary and renal carcinoma, was admitted to the hospital due to a symptomatic left atrial tumor mass. Read More

Acta Cardiol 2021 May 5:1-3. Epub 2021 May 5.

Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands.

Arch Endocrinol Metab 2021 Apr 29. Epub 2021 Apr 29.

Endocrinologist, Practicing at Private Practice, Karaj, Iran.

Carney complex (CNC) is a rare syndrome of multiple endocrine and non-endocrine tumors. In this paper we present a 23-year-old Iranian woman with CNC who harbored a novel mutation (c.642dupT) in gene. Read More

Am J Case Rep 2021 May 3;22:e931437. Epub 2021 May 3.

Division of Anatomical Pathology, Stellenbosch University, National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa.

BACKGROUND Although rare, atrial myxoma is the most common benign cardiac tumor. The recognized triad of presenting symptoms relates to constitutional, embolic, and obstructive effects produced by the tumor. However, the presentation may be non-specific and mimic other diseases, confounding diagnosis. Read More

Exp Ther Med 2021 Jun 14;21(6):603. Epub 2021 Apr 14.

Department of Cardiovascular Surgery, 'Prof. Dr. C. C.' Iliescu Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania.

Despite the development of imagistic methods, the differential diagnosis of a right atrial mass may be difficult to be established, the most common pathologies which should be taken in consideration being represented by thrombus, tumors, prominent crista terminalis, or vegetation of infectious endocarditis. In this study, we present the case of a 63-year-old man with chronic kidney disease, in hemodialysis (HD) with a silicone central venous catheter (CVC) with the incidental transthoracic echocardiography (transthoracic echocardiogram, TTE) finding of a tumoral mass of 35x26 mm in the right atrium (RA), not related with the catheter, which was diagnosed as right atrial myxoma and underwent surgical excision. After reviewing the histopathology probe, the diagnosis of right atrial thrombus was confirmed. Read More

BMC Cardiovasc Disord 2021 May 1;21(1):225. Epub 2021 May 1.

Department of Cardiology, Samen Hospital, Mashhad, Iran.

Background: Primary cardiac tumors are rare, and approximately 90% of them are benign. Myxoma is the most common type of these tumors occurring in the left atrium in 75-85% of cases. The tumor can cause the left atrio-ventricular valve obstruction and embolization phenomenon. Read More

Int J Surg Pathol 2021 Apr 29:10668969211014959. Epub 2021 Apr 29.

University of Michigan, Ann Arbor, MI, USA.

Fibrin-associated diffuse large B-cell lymphoma (FA-DLBCL) is a provisional entity in the 2017 Revision of the World Health Organization Classification. This indolent entity, which is frequently discovered incidentally, is currently classified under the category of diffuse large B-cell lymphoma associated with chronic inflammation (DLBCL-CI), an aggressive lymphoma with poor survival. Several authors have proposed that it be classified separately since, in contrast to DLBCL-CI, transformation to aggressive lymphoma has rarely been reported and this entity has distinct clinical and histological features. Read More

Interact Cardiovasc Thorac Surg 2021 Apr 29. Epub 2021 Apr 29.

Department of Cardiac Surgery, Attikon University Hospital, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

CASE (Phila) 2021 Apr 13;5(2):90-92. Epub 2020 Dec 13.

Emory University Division of Cardiology, Atlanta, Georgia.

Neurohospitalist 2021 Jan 31;11(1):12-17. Epub 2020 Jul 31.

Department of Medicine (Neurology), Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada.

Background And Purpose: It is unclear whether it is clinically necessary or cost-effective to routinely obtain a transthoracic echocardiogram (TTE) during inpatient admission for ischemic stroke.

Methods: We assessed consecutive patients presenting with acute ischemic stroke at a comprehensive stroke center from 2015 to 2017 who underwent TTE. We assessed for findings on TTE that would warrant urgent intervention including cardiac thrombus, atrial myxoma, mitral stenosis, valve vegetation, valve dysfunction requiring surgery, and low ejection fraction. Read More

Basic Clin Neurosci 2020 Nov-Dec;11(6):855-859. Epub 2020 Nov 1.

Department of Neurology, School of Medicine, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Myxoma may cause systemic embolization and frequently presents as ischemic stroke.

Case Presentation: There have been debates about whether it is safe to use recombinant tissue plasminogen activator (rt-PA) in patients with cardiac myxoma who referred with ischemic stroke to the hospital's emergency.

Results: The patient was a young case of atrial myxoma with initial presentation of acute cerebral infarction symptoms who was treated with intravenous rt-PA with no complications. Read More

Echocardiography 2021 Apr 13. Epub 2021 Apr 13.

Cardiac Surgery, Stamford Hospital, Stamford, CT, USA.

A young and healthy woman presented with progressive dyspnea on exertion. An echocardiogram showed a giant right atrial mass. Cardiac CT angiography provided the most accurate estimate for the tumor size, while 2-D echo, 2-D, and 3-D trans-esophageal echo underestimated the dimensions of the cardiac tumor when referenced by the surgical specimen. Read More

Heart Surg Forum 2021 03 3;24(2):E215-E216. Epub 2021 Mar 3.

Department of Critical Care Medicine, Nantong Third People's Hospital, Nantong University, Nantong, China.

A 63-year-old man was admitted for acute left heart failure after doing farm work. He rapidly developed refractory cardiogenic shock due to a large left atrial myxoma which was found by bedside echocardiography. Venoarteriovenous extracorporeal membrane oxygenation (ECMO) was performed immediately, and the patient was transferred for further surgery with a good outcome. Read More

CJC Open 2021 Mar 18;3(3):354-360. Epub 2020 Nov 18.

Department of Anesthesia, Marine City Medical College and Hospital, Chattogram, Bangladesh.

Background: Primary cardiac tumors are quite rare and mostly benign in nature. Most of the benign heart tumors are myxomas. These might present with a wide range of symptoms from being completely asymptomatic to having life-threatening complications like stroke, heart failure, or even sudden death. Read More

Turk Gogus Kalp Damar Cerrahisi Derg 2021 Jan 13;29(1):110-113. Epub 2021 Jan 13.

Department of Cardiovascular Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey.

Epithelioid hemangioendothelioma is a rare malignant vascular tumor which originates from the vascular endothelial or dendritic cells and has a moderate malignancy between benign hemangioma and malignant hemangiosarcoma, arising from vascular structures. Radical resection of epithelioid hemangioendothelioma is recommended, due to both its malignant nature and the adverse effects of associated complications on mortality and morbidity. In this article, we present a rare case of primary cardiac epithelioid hemangioendothelioma accompanied by a left atrial myxoma which was treated by resection. Read More

BMJ Case Rep 2021 Mar 20;14(3). Epub 2021 Mar 20.

Department of Cardiology, ProCare Odessa Heart Institute, Medical Center Hospital, Odessa, Texas, USA.

Atrial myxoma is a benign primary heart tumour, which can be found incidentally on imaging studies. It is usually located in the left atrium and may manifest as dyspnoea, chest pain, heart failure, cough, shortness of breath when rising from a recumbent position, haemoptysis, hoarseness and as a source of cardiac embolism. However, dysphagia caused by an atrial myxoma has been reported only twice in the literature. Read More

Pan Afr Med J 2020 16;37:348. Epub 2020 Dec 16.

Department of Cardiology, Military Hospital of Tunis, Tunis, Tunisia.

Atrial myxoma is the most common primary cardiac tumor. We report the case of left atrium myxoma accompanied by severe thrombocytopenia in a 72-years-old woman. The thrombocytopenia has been discovered 5 years ago, it was explored, no obvious cause was found, the diagnosis of idiopathic thrombocytopenia was retained based on clinical and paraclinical arguments, corticosteroid treatment was ineffective and platelet count remains low. Read More

CMAJ 2021 Mar;193(10):E340

Departments of Cardiology (Yamamoto, Yamashita), and Cardiovascular Surgery (Hagiwara), National Hospital Organization Nagoya Medical Center, Aichi, Japan.

J Vasc Interv Radiol 2021 05 6;32(5):771-773. Epub 2021 Mar 6.

Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147 Essen, Germany.

J Cardiothorac Vasc Anesth 2021 Feb 9. Epub 2021 Feb 9.

Anesthesiology Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI. Electronic address:

J Echocardiogr 2021 Feb 27. Epub 2021 Feb 27.

Department of Pathology, National Hospital Organization, Osaka-Minami Medical Center, Kawachi-Nagano, Osaka, Japan.

Eur Heart J Case Rep 2020 Dec 13;4(6):1-7. Epub 2020 Dec 13.

Cardiac Center Sharjah, Al-Qassimi Hospital, Ministry of Health and Prevention (MOHAP), Sharjah, United Arab Emirates.

Background: Cardiac myxomas are considered the most common benign heart tumours. The clinical manifestations mainly depend on the size of the tumour. They usually vary from asymptomatic, mild non-specific symptoms, to severe obstructive cardiac and systemic findings. Read More

Cureus 2021 Jan 20;13(1):e12799. Epub 2021 Jan 20.

Internal Medicine, Deccan College of Medical Sciences, Hyderabad, IND.

Neuroblastoma is the most common childhood malignancy arising from the sympathetic neuroblast cells. The most common sites of origin are the adrenal glands and paravertebral regions. However, the involvement of the heart is a rare occurrence in adolescents. Read More

Am J Case Rep 2021 Feb 9;22:e927874. Epub 2021 Feb 9.

Department of Internal Medicine, Jordan University of Science and Technology, Irbid, Jordan.

BACKGROUND Myxomas are rare benign tumors of the heart. These tumors are commonly located in the left atrium, but rarely can affect the right side of the heart. Although it is a relatively rare tumor, it is the most common primary cardiac tumor, accounting for 75-80% of them. Read More

Eur Heart J Case Rep 2021 Jan 28;5(1):ytaa500. Epub 2020 Dec 28.

Cardiovascular Center, University of Florida Health Jacksonville, 5th Floor Ambulatory Care Center, Box C-35 655 W 8th Street, Jacksonville, FL 32209, USA.

Background: Cardiac foreign bodies (FBs) are rare findings that may present as cardiac masses initially. Here, we present an exceptional and rare case of a hypodermic needle FB that transmigrated to the left atrium and presented as a left atrial mass.

Case Summary: A 28-year-old woman with multiple psychiatric disorders including intentional FB ingestion and self-inflicting injuries presented to the emergency room with abdominal pain, nausea, vomiting, diarrhoea, and chest pain that radiated to the left arm and face for 2 weeks. Read More

J Card Surg 2021 Mar 21;36(3):1134-1135. Epub 2021 Jan 21.

Department of Cardiac Surgery, Zhongshan Hospital Fudan University, Shanghai, China.

Myxoma is the most common benign tumor of the heart. Most patients present with no symptoms, only a few patients present with exertional dyspnea and stroke. We introduce this rare case presenting with exertional angina, which was caused by coronary steal due to neovascularization, proved by coronary angiography and cardiac stress testing. Read More

Eur Heart J Case Rep 2020 Dec 30;4(6):1-5. Epub 2020 Nov 30.

Department of Cardiothoracic Surgery, Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Portugal.

Background: Myocarditis is an uncommon, potentially life-threatening disease that presents with a wide range of symptoms. In acute myocarditis, chest pain (CP) may mimic typical angina and also be associated with electrocardiographic changes, including an elevation of the ST-segment. A large percentage (20-56%) of myxomas are found incidentally. Read More

Eur Heart J Case Rep 2020 Dec 12;4(6):1-4. Epub 2020 Dec 12.

Structural and Valvular Center of Excellence, Marcus Heart Valve Center, Piedmont Heart Institute, 95 Collier Road, Suite 2065, Atlanta, GA 30309, USA.

Background: Atrial myxomas are the most common benign cardiac tumours. Clinical manifestations vary from constitutional symptoms, to valvular stenosis and embolic events, and surgical removal is the only suggested treatment.

Case Summary: A 50-year-old female patient was referred to our centre for surgical excision of a reported right atrial mass. Read More