Publish in this journal
Journal Information
Vol. 69. Issue 9.
Pages 864 (September 2016)
Image in cardiology
DOI: 10.1016/j.rec.2015.12.032
Full text access
Usefulness of Cardiac Computed Tomography for Preoperative Characterization of Myxomas
Utilidad de la tomografía computarizada cardiaca en la caracterización preoperatoria de mixomas
Visits
...
Álvaro García-Ropero
Corresponding author
alvarogr87@hotmail.es

Corresponding author:
, Marcelino Cortés García, Jerónimo Farré Muncharaz
Departamento de Cardiología, Hospital Universitario Fundación Jiménez Díaz, Quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain
This item has received
...
Visits
(Daily data update)
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

A 64-year-old male, with no past medical history, was sent to thoracic computed tomography to complete the study of several episodes of pneumonia within the last few years. A calcified annular lesion was incidentally found in the left atrium (Figures A and B), confirmed by transthoracic and transesophageal echocardiograms (Figures C and D), localized next to right superior pulmonary vein drainage. Because we suspected cardiac myxoma and considered surgical treatment as of choice in this sort of tumor, the mass was entirely removed and the diagnosis was confirmed by pathological examination. A contrast cardiac computed tomography was first ordered to exclude coronary artery disease and endoluminal views were attached (Figures E-G).

Figure
(0.35MB).

The lesion presented as a single heterogeneous mass, mobile and round, consistent with cardiac myxoma, with calcified foci (grey areas in Figures F and G). Dimensions 14 x 10mm. As clearly seen in the endoluminal images, the location was atypical, beside the pulmonary vein rather than the interatrial septum, as is more common. The differential diagnosis included other benign tumors such as lipomas (homogeneous masses), and fibroelastomas (which are frequent on cardiac valves and not seen on computed tomography if they are < 1.5cm). Although metastases are more prevalent than primary tumors, they usually affect the epicardium with metastases in other organs. Intracardiac thrombi are normally smaller, homogeneous, and immobile.

For these reasons, cardiac computed tomography performed in these patients to exclude coronary artery disease should include endoluminal reconstructions to enhance surgical results. These reconstructions have high accuracy in characterizing the morphology and location of myxomas, with no additional tests.

Copyright © 2016. Sociedad Española de Cardiología
Idiomas
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.