Case Report: Unusual Cause of Chest Pain: A Multi-Image Assessment of a Cardiac Mass

Frontiers in Cardiovascular Medicine

article

Javier Serrano-Roman¹  Santiago Saenz-Ancira¹  Jose C. Armendariz-Ferrari²  Valente Fernandez-Badillo¹  Enrique Solorzano-Pinot¹  Adrian Espejel-Guzman¹  Joaquin Berarducci¹  Alberto Aranda-Fraustro³  Mauricio Garcia-Cardenas¹  Nilda Espinola-Zavaleta¹ 

[1] Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez;Department of Clinical Cardiology and Echocardiography, Hospital Nacional Hipolito Unanue;Department of Pathology, National Institute of Cardiology Ignacio Chavez;Department of Echocardiography, ABC Medical Center I.A.P

关键词: myxoma;    tumor;    neovascularization;    echocardiography;    computed tomography angiography;   

DOI  :  10.3389/fcvm.2022.889406

学科分类：地球科学(综合)

来源: Frontiers

【 摘 要 】

Myxomas represent the most common benign primary cardiac tumor, they usually grow out of the interatrial septum into the left atrium with a pedunculated base. Intracardiac masses can be found incidentally on imaging studies, but symptomatology may arise secondary to the mass effect, embolization, and valvular function impairment. We present the case of a 75-year-old woman who arrived at the emergency department with atrial fibrillation and NSTEMI segment elevation myocardial infarction (NSTEMI) secondary to a highly vascularized neoplasm visible by coronary angiography and angiotomography. Scarce reports show high quality multi-imaging assessment of significantly vascularized myxomas with such atypical presentation. High-definition imaging studies played a fundamental role in the surgeon’s management of a mass with a complex neovascularization.

【 授权许可】

CC BY