Okan Tetyana, Babliak Oleksandr, Agarwal Kriti, Kuzyk Yulia, Lanka Santh Prakash, Iskander Beshoy, Sharma Sanjeev, Tadepalli Satish, Jaiswal Richa, Hussain Akbar, Rashid Mohammed Y, Chakinala Raja Chandra
Department of Diagnostic Imaging, The Metropolitan Andrey Sheptytsky Hospital, Lviv, UKR.
Department of Cardiac Surgery, Cardiac Surgery Center "Dobrobut", Kyiv, UKR.
Cureus. 2021 Oct 2;13(10):e18432. doi: 10.7759/cureus.18432. eCollection 2021 Oct.
Myxomas, being the most common primary benign tumor among all cardiac tumors, occur rarely with a very low incidence rate. Myxomas can cause various clinical manifestations or can be diagnosed incidentally. Some patients with cardiac myxomas are completely asymptomatic. Cardiac myxomas cause life-threatening complications, thus early diagnosis is imperative. We are reporting a case of atrial myxoma in a 38-year-old female without any significant past medical history, who came to our clinic for cardiology evaluation prior to plastic surgery. The elliptical mobile mass, located in the left atrium with its attachment to the interatrial septum, was diagnosed by transthoracic echocardiography. The patient was referred for surgery and a minimally invasive surgical approach was chosen. A histological report confirmed the diagnosis of myxoma. The patient recovered well. Three years of follow-up did not reveal any signs of recurrence of the tumor. We are also analyzing 20 previously published cases of asymptomatic myxomas and myxomas treated with a minimally invasive surgical approach, reported in the PubMed database for the last 20 years (2001-2021) in the adult patient population (age 19 and over). The aim of this study is to highlight the asymptomatic presentation of cardiac myxomas and to underline the advantages of a minimally invasive surgical approach. In summary, asymptomatic cardiac myxomas are rare incidental findings. Attention to subtle symptoms during a physical exam and scrupulous history-taking can provide a clue to this diagnosis. Early diagnosis of cardiac myxomas is crucial to prevent life-threatening complications. Minimally invasive surgery is a promising alternative approach to standard open-heart surgery for treating cardiac myxomas, providing faster recovery and higher patient satisfaction with surgical care.
黏液瘤是所有心脏肿瘤中最常见的原发性良性肿瘤，发病率极低，很少发生。黏液瘤可引起各种临床表现，也可偶然被诊断出来。一些患有心脏黏液瘤的患者完全没有症状。心脏黏液瘤可导致危及生命的并发症，因此早期诊断至关重要。我们报告一例38岁女性心房黏液瘤病例，该患者既往无重大病史，因整形外科手术前前来我们诊所进行心脏评估。经胸超声心动图诊断出一个椭圆形可移动肿块，位于左心房，附着于房间隔。患者被转诊接受手术，并选择了微创外科手术方法。组织学报告证实为黏液瘤诊断。患者恢复良好。三年的随访未发现肿瘤复发迹象。我们还分析了过去20年（2001 - 2021年）在PubMed数据库中报道的20例成人患者（年龄19岁及以上）无症状黏液瘤和采用微创外科手术方法治疗的黏液瘤病例。本研究的目的是突出心脏黏液瘤的无症状表现，并强调微创外科手术方法的优势。总之，无症状心脏黏液瘤是罕见的偶然发现。体格检查时注意细微症状并仔细询问病史可为该诊断提供线索。心脏黏液瘤的早期诊断对于预防危及生命的并发症至关重要。对于治疗心脏黏液瘤，微创外科手术是标准心脏直视手术的一种有前景的替代方法，可实现更快恢复并提高患者对手术治疗的满意度。
