open access

Vol 82, No 2 (2023)
Case report
Submitted: 2022-01-07
Accepted: 2022-03-07
Published online: 2022-04-05
Get Citation

An atypical radiographic appearance of a cardiac myxoma: case report and review of the literature

R. Antoniak1, M. Kompa1, R. Burdach1, L. Grabowska-Derlatka1, A. Słowikowska2, O. Rowiński1
·
Pubmed: 35411543
·
Folia Morphol 2023;82(2):391-395.
Affiliations
  1. 2nd Department of Clinical Radiology, University Clinical Centre of Medical University of Warsaw, Poland
  2. Department of Cardiac Surgery, University Clinical Centre of Medical University of Warsaw, Poland

open access

Vol 82, No 2 (2023)
CASE REPORTS
Submitted: 2022-01-07
Accepted: 2022-03-07
Published online: 2022-04-05

Abstract

Cardiac myxomas are the most common primary cardiac tumours in adults. They usually present as a solitary, solid mass in the left atrium. Their most common radiographic appearance is that of a hypodense lesion on computed tomography (CT) and inhomogeneous lesion (hypo to isointense on T1 sequences and hyperintense on T2 sequences) on magnetic resonance (MR) with some contrast enhancement. However, different patterns are recognized due to secondary changes within the
tumour. We present a case of a 60-year-old man with a hypervascular myxoma. The lesion was a sessile mass located in the left atrium and rigidly attached to the interatrial septum. On CT and MR, it showed vivid contrast enhancement due to intratumoural flush of arterial blood form branches of dominant left circumflex artery and a possible fistula to the left atrium. Furthermore, we review the literature for different atypical radiographic appearances of myxomas.

Abstract

Cardiac myxomas are the most common primary cardiac tumours in adults. They usually present as a solitary, solid mass in the left atrium. Their most common radiographic appearance is that of a hypodense lesion on computed tomography (CT) and inhomogeneous lesion (hypo to isointense on T1 sequences and hyperintense on T2 sequences) on magnetic resonance (MR) with some contrast enhancement. However, different patterns are recognized due to secondary changes within the
tumour. We present a case of a 60-year-old man with a hypervascular myxoma. The lesion was a sessile mass located in the left atrium and rigidly attached to the interatrial septum. On CT and MR, it showed vivid contrast enhancement due to intratumoural flush of arterial blood form branches of dominant left circumflex artery and a possible fistula to the left atrium. Furthermore, we review the literature for different atypical radiographic appearances of myxomas.

Get Citation

Keywords

cardiac tumour, radiology, computed tomography, magnetic resonance

About this article
Title

An atypical radiographic appearance of a cardiac myxoma: case report and review of the literature

Journal

Folia Morphologica

Issue

Vol 82, No 2 (2023)

Article type

Case report

Pages

391-395

Published online

2022-04-05

Page views

2257

Article views/downloads

720

DOI

10.5603/FM.a2022.0040

Pubmed

35411543

Bibliographic record

Folia Morphol 2023;82(2):391-395.

Keywords

cardiac tumour
radiology
computed tomography
magnetic resonance

Authors

R. Antoniak
M. Kompa
R. Burdach
L. Grabowska-Derlatka
A. Słowikowska
O. Rowiński

References (12)
  1. Baris VO, Uslu A, Gerede DM, et al. Rare cause of dyspnoea: pulmonary artery myxoma. Eur Heart J Cardiovasc Imaging. 2016; 17(8): 946.
  2. Carney JA, Gordon H, Carpenter PC, et al. The complex of myxomas, spotty pigmentation, and endocrine overactivity. Medicine (Baltimore). 1985; 64(4): 270–283.
  3. Colin GC, Gerber BL, Amzulescu M, et al. Cardiac myxoma: a contemporary multimodality imaging review. Int J Cardiovasc Imaging. 2018; 34(11): 1789–1808.
  4. Kataoka S, Otsuka M, Goto M, et al. Primary multiple cardiac myxomas in a patient without the Carney complex. J Cardiovasc Ultrasound. 2016; 24(1): 71–74.
  5. Katiyar G, Vernekar JA, Lawande A, et al. Cardiac MRI in right ventricular outflow tract myxoma: Case report with review of literature. J Cardiol Cases. 2020; 22(3): 128–131.
  6. López-Marco A, BinEsmael T, Rowlands G, et al. Complete calcification of right atrial myxoma. Eur J Cardiothorac Surg. 2015; 48(1): 171.
  7. McAllister BJ. Multi modality imaging features of cardiac myxoma. J Cardiovasc Imaging. 2020; 28(4): 235–243.
  8. Park KJ, Woo JS, Park JY. Left atrial myxoma presenting with unusual cystic form. Korean J Thorac Cardiovasc Surg. 2013; 46(5): 362–364.
  9. Singhal A, Gupta P, Mani S, et al. A rare cystic degeneration of myxoma. Indian Heart J. 2017; 1(1): 39–41.
  10. Stiver K, Bittenbender P, Whitson BA, et al. Left atrial myxoma causing coronary steal: an atypical cause of angina. Tex Heart Inst J. 2015; 42(3): 270–272.
  11. Terada Y, Wanibuchi Y, Noguchi M, et al. Metastatic atrial myxoma to the skin at 15 years after surgical resection. Ann Thorac Surg. 2000; 69(1): 283–284.
  12. Wan Y, Du H, Zhang L, et al. Multiple cerebral metastases and metastatic aneurysms in patients with left atrial Myxoma: a case report. BMC Neurol. 2019; 19(1): 249.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl