Mitral valve myxoma associated with intracranial tumor: a case report

Primary tumors of the heart are rare, and among them, cardiac myxoma is the most prevalent primary cardiac neoplasm in adult patients. Astrocytoma is the most common glioma and can occur in most parts of the brain and occasionally in the spinal cord. There is a little knowledge about coexistence of cardiac myxoma and astrocytoma in the literature. Cardiac myxoma associated with intracranial tumor is a very rare entity. We presented a case of cardiac myxoma originating mitral anterior valve associated with astrocytoma. The patient underwent the operation for intracranial tumor 2 months before cardiac surgery. Mitral valve myxoma was successfully treated with surgical resection without mitral valve replacement. 

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  • Garatti A, Nano G, Canziani A, Gagliardotto P, Mossuto E, Frigiola A, et al. Surgical excision of cardiac myxomas: twenty years’ experience at a single institution. Ann Thorac Surg 2012;93:825-31.
  • Samanidisa G, Perreasa K, Kalogrisa P, Dimitrioua S, Balanikab M, Amanatidisa G, et al. Surgical treatment of primary intracardiac myxoma: 19 years of experience. Interact Cardiovasc Thorac Surg 2011;13:597-600.
  • Yavuz S, Celkan A, Ata Y, Mavi M, Turk T, Eris C, et al. Mitral valve myxoma. Asian Cardiovasc Thorac Ann 2000;8:64-6.
  • Arruda MV, Braile DM, Joaquim MR, Soares MJ, Alves RH. Resection of left ventricular myxoma after embolic stroke. Rev Bras Cir Cardiovasc 2008;23:578-80.
  • Choi BW, Ryu SJ, Chang BC, Choe KO. Myxoma attached to both atrial and ventricular sides of the mitral valve: report of a case and review of 31 cases of mitral myxoma. Int J Cardiovasc Imaging 2001;17:411-6.
  • Raith EP. Heart: cardiac myxoma. Atlas Genet Cytogenet Oncol Haematol 2010;14:164-8.
  • Chozick BS, Ambler MW, Stoll J Jr. Malignant astrocytoma six years after the resection of a cerebral metastatic cardiac myxoma: case report. Neurosurgery 1992;30:923-6; discussion 926-7.
  • Kaya M, Ersoy B, Yeniterzi M. Mitral valve regurgitation due to annular dilatation caused by a huge and floating left atrial myxoma. Kardiochir Torakochirurgia Pol 2015;12:248-50.
  • Lobo A, Lewis JF, Conti CR. Intracardiac masses detected by echocardiography: case presentations and review of the literature. Clin Cardiol 2000;23:702-8.
  • Ipek G, Erentug V, Bozbuga N, Polat A, Guler M, Kirali K, et al. Surgical management of cardiac myxoma. J Card Surg 2005;20:300-4.
  • Seub BKH. Surgical considerations in the treatment of cardiac myxoma. J Thorac Cardiovasc Surg 1984;87:251-9.
  • Yilman M, Kolbakir F, Keceligil HT, Keyik T, Erk MK. Myxoma originated from mitral annulus. Turk Gogus Kalp Dama 1994;2:159-61.
  • Narin C, Ege E, Onoglu R, Yazici M, Sarigul A. Surgery of left atrial myxoma as a second primary tumor in a patient previously treated for breast cancer. Turk Gogus Kalp Dama 2012;20:133-5.