Assessment of embolic cardiomyopathy from atrial myxoma on magnetic resonance imaging: A case report
Atrial myxoma is the most common benign cardiac tumor, which can present with diverse symptoms. Systemic embolism is a frequent complication, affecting up to one-third of cases and frequently involving cerebral arteries. However, cardiac myxoma-induced myocardial infarction (MI) is rare. We report a...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323003643 |
| _version_ | 1797774629138333696 |
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| author | Hien Quang Nguyen, MD Anh Ngoc Thi Chau, MD Khien Quoc Doan, MD Nhien Cam Thi Tran, MD |
| author_facet | Hien Quang Nguyen, MD Anh Ngoc Thi Chau, MD Khien Quoc Doan, MD Nhien Cam Thi Tran, MD |
| author_sort | Hien Quang Nguyen, MD |
| collection | DOAJ |
| description | Atrial myxoma is the most common benign cardiac tumor, which can present with diverse symptoms. Systemic embolism is a frequent complication, affecting up to one-third of cases and frequently involving cerebral arteries. However, cardiac myxoma-induced myocardial infarction (MI) is rare. We report a case of a 56-year-old man presenting with predominant neurological symptoms and an unexplained elevation of hs-Trop T without clinical signs of acute MI. Computerized tomography of the head showed no acute lesions, but subsequent magnetic resonance imaging (MRI) revealed multiple small ischemic lesions and old microhemorrhage foci. A comprehensive cardiovascular investigation was performed. Ultrasonography revealed a left atrial mass. Cardiac MRI confirmed the mass was an atrial myxoma, and showed many old infarctions and scarring lesions in the cardiac muscle. The patient underwent tumor resection, but residual motor-neurological deficits were observed. This case emphasizes the importance of cardiac MRI in the diagnosis of multiple focal infarctions attributed to coronary embolism. |
| first_indexed | 2024-03-12T22:22:52Z |
| format | Article |
| id | doaj.art-9ccc1a3f46a74b4aa5feca1613479205 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-12T22:22:52Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-9ccc1a3f46a74b4aa5feca16134792052023-07-23T04:54:03ZengElsevierRadiology Case Reports1930-04332023-09-0118930143019Assessment of embolic cardiomyopathy from atrial myxoma on magnetic resonance imaging: A case reportHien Quang Nguyen, MD0Anh Ngoc Thi Chau, MD1Khien Quoc Doan, MD2Nhien Cam Thi Tran, MD3Radiology Department, Thu Duc city Hospital, Ho Chi Minh city, Vietnam; Corresponding author: 29 Phu Chau Street, Thu Duc city, Ho Chi Minh city, 70000, VietnamRadiology Department, Tam Anh Hospital, Ho Chi Minh city, VietnamRadiology Department, Thu Duc city Hospital, Ho Chi Minh city, VietnamRadiology Department, Thu Duc city Hospital, Ho Chi Minh city, VietnamAtrial myxoma is the most common benign cardiac tumor, which can present with diverse symptoms. Systemic embolism is a frequent complication, affecting up to one-third of cases and frequently involving cerebral arteries. However, cardiac myxoma-induced myocardial infarction (MI) is rare. We report a case of a 56-year-old man presenting with predominant neurological symptoms and an unexplained elevation of hs-Trop T without clinical signs of acute MI. Computerized tomography of the head showed no acute lesions, but subsequent magnetic resonance imaging (MRI) revealed multiple small ischemic lesions and old microhemorrhage foci. A comprehensive cardiovascular investigation was performed. Ultrasonography revealed a left atrial mass. Cardiac MRI confirmed the mass was an atrial myxoma, and showed many old infarctions and scarring lesions in the cardiac muscle. The patient underwent tumor resection, but residual motor-neurological deficits were observed. This case emphasizes the importance of cardiac MRI in the diagnosis of multiple focal infarctions attributed to coronary embolism.http://www.sciencedirect.com/science/article/pii/S1930043323003643Atria myxomaCardioembolic cerebral infarctionEmbolic myocardial infarctionCTMR |
| spellingShingle | Hien Quang Nguyen, MD Anh Ngoc Thi Chau, MD Khien Quoc Doan, MD Nhien Cam Thi Tran, MD Assessment of embolic cardiomyopathy from atrial myxoma on magnetic resonance imaging: A case report Radiology Case Reports Atria myxoma Cardioembolic cerebral infarction Embolic myocardial infarction CT MR |
| title | Assessment of embolic cardiomyopathy from atrial myxoma on magnetic resonance imaging: A case report |
| title_full | Assessment of embolic cardiomyopathy from atrial myxoma on magnetic resonance imaging: A case report |
| title_fullStr | Assessment of embolic cardiomyopathy from atrial myxoma on magnetic resonance imaging: A case report |
| title_full_unstemmed | Assessment of embolic cardiomyopathy from atrial myxoma on magnetic resonance imaging: A case report |
| title_short | Assessment of embolic cardiomyopathy from atrial myxoma on magnetic resonance imaging: A case report |
| title_sort | assessment of embolic cardiomyopathy from atrial myxoma on magnetic resonance imaging a case report |
| topic | Atria myxoma Cardioembolic cerebral infarction Embolic myocardial infarction CT MR |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323003643 |
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