Sol Atriyal Dev Miksoması olan Asemptomatik Hasta: Olgu Sunumu

Miksomalar kalbin en sık görülen primer tümörleridir. Primer kardiyak miksomalar sıklıkla sol atriyumda yerleşirler. Genellikle miksomalar histopatolojik olarak benign kabul edilmelerine rağmen özellikle mitral kapak obstrüksiyonlarına ve serebrovasküler embolilere neden olabilirler. Miksomalar nadiren asemptomatiktir, özellikle de çok büyük boyutlarda iken semptomatik olurlar. 42 yaşında bayan hasta kliniğimize hafif nefes darlığı yakınması ile başvurdu. Ekokardiyografi ile sol atriyumda dev miksoma saptandı. Kitle cerrahi olarak çıkarıldı ve patolojik tanı miksoma ile uyumlu idi. Hasta dev sol atriyal miksomaya rağmen asemptomatik olması nedeni ile takdimi uygun bulundu

Anahtar Kelimeler:

Atriyal miksoma, kardiyak tümör, asemptomatik hasta

Left Atrial Huge Myxoma with Asymptomatic Patient: Case Report

Myxoma is the most common primary tumor of the heart. The majority of myxomas are located in the left atrium. Although cardiac myxomas are histologically benign, they may be the source of emboli and cause intracardiac obstruction. Myxomas rarely remain asymptomatic, especially if they are large. A 42-year-old woman was admitted to our clinic with complaint of mild dyspnea. Echocardiography showed huge myxoma in left atrium. Surgery was performed and the mass was removed. Pathological examination demonstrated myxoma. We report a case of an asymptomatic huge left atrial myxoma

Keywords:

Atrial myxoma, cardiac tumor, asymptomatic patient,

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Reynen K. Cardiac myxomas. N Engl J Med, 333: 1610-1617, 1995
McAllister HA, Fenoglio JJ. Tumors of the Cardiovascular System. In Hartmann WH, Cowan WR (eds): Atlas of Tumor Pathology. Vol. Second Series, Fascille 15. Washington, DC, Armed Forces Institude of Pathology, pp 1-3, 1978
Reynen K. Frequency of primary tumors of the heart. Am J Card 77: 107, 1996
Straus R, Merliss S. Primary tumor of the heart. Arch Pathol, 39: 74–78, 1945
Nurözler F, Tandoğan A, Yamak B. Minimal Semptomlu Dev Sol Atriyal Miksoma: Olgu Sunumu. Turkish J Thorac Cardiovasc Surg, 11: 52-53, 2003
Meng Q, Lai H, Lima J, Tong W, Qian Y, Lai S. Echocardiographic and pathologic characteristics of primary cardiac tumors: a study of 149 cases. Int J Cardiol, 84: 69–75, 2002
Yazici M, Norgaz T, Akdemir R, Albayrak S. Asymptomatic giant left atrial myxoma supplied from right coronary artery in a 65- year-old woman. International Journal of Cardiology, 101; 495– 496, 2005
Fyke III FE, Seward JB, Edwards WD et al. Primary cardiac tumors: Experience with 30 consecutive patients since the introduction of two-dimensional echocardiography. J Am Coll Cardiol, 5: 1465–1473, 1985
St John-Sutton MG, Mercier LA, Giuliani ER, et al. Atrial myxomas: a review of clinical experience in 40 patients. Mayo Clin Proc, 55: 371–376, 1980
Keeling IM, Oberwalder P, Anelli-Monti M, et al: Cardiac myxomas: 24 year of experience in 49 patients. Eur J Cardiothorac Surg 22: 971–977, 2002
Hanson EC, Gill CC, Razavi M, Loop FD. The surgical treatment of atrial myxomas: clinical experience and late results in 33 patients. J Thorac Cardiovasc Surg, 89: 298- 303, 1985