Among the solid malignancies (n=13, 65%), the majority were the lung (n=2), carcinoma breast (n=2), and hepatocellular carcinoma (n=2) including one case each of carcinoma stomach, pancreas, oral cavity, left
atrial myxoma, and Ewing's sarcoma.
Atrial myxoma is the most frequent primary cardiac tumor, representing 30% to 50% of all cases.
Apart from arrhythmic causes, cardiovascular diseases such as aortic valve stenosis, hypertrophic cardiomyopathy,
atrial myxoma, pulmonary embolism, and myocardial infarction may cause syncope as a result of decreased cardiac output.
lactis in a patient with
atrial myxoma: a case report," Diagnostic Microbiology and Infectious Disease, vol.
Pan, "Left
atrial myxoma with versus without cerebral embolism: length of symptoms, morphologic characteristics, and outcomes," Texas Heart Institute Journal, vol.
Michler, "Radical excisional therapy and total cardiac transplantation for recurrent
atrial myxoma," The Annals of Thoracic Surgery, vol.
In one case series of 74 patients,
atrial myxoma first presented as stroke in 16% of patients [8].
The previously noted LA mass measured 2.1 cm by 1.4 cm, appeared pedunculated and was attached to the left side of the interatrial septum with echogenic characteristics concerning for
atrial myxoma (Figure 1).
Left
atrial myxoma: pulmonary infarction caused by pulmonary venous occlusion.
Mitral valve recurrence of a left
atrial myxoma. Eur J Cardiothorac Surg 2002; 21:568-73.
Pathology of
Atrial Myxoma. Histological analysis of the
atrial myxoma was performed by both hematoxylin and eosin (H&E) staining and via immunofluorescent microscopic examination.
Other differential diagnoses should include
atrial myxoma,[sup][2] a gradually growing cardiac tumor, and hydatidosis,[sup][3] which would be supported by the presence of hydatid cysts in lungs and liver and positive serologic tests.