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Related Experiment Video

Updated: Jun 18, 2026

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

An unexpected pre-operative diagnosis.

G Hallward¹, K Valchanov

¹Papworth Hospital, Cambridge, UK. ghallward@doctors.org.uk

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology

|November 27, 2009

Summary

A patient with breathlessness was misdiagnosed with systemic lupus erythematosus but had an atrial myxoma. This case highlights the importance of considering cardiac causes for respiratory symptoms and evaluating pre-operative echocardiography needs.

Related Experiment Videos

Last Updated: Jun 18, 2026

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

Area of Science:

Cardiology
Internal Medicine

Background:

Breathlessness is a common presenting symptom in clinical practice.
Systemic lupus erythematosus and atrial myxoma can present with overlapping symptoms, leading to diagnostic challenges.

Observation:

A case report details a patient initially suspected of having systemic lupus erythematosus due to breathlessness.
Diagnostic workup revealed the patient actually had an atrial myxoma, a cardiac tumor.

Findings:

Cardiac pathology, such as atrial myxoma, can mimic pulmonary conditions like systemic lupus erythematosus.
Misdiagnosis can occur when cardiac causes of breathlessness are overlooked.

Implications:

Clinicians should maintain a high index of suspicion for cardiac pathology in patients presenting with unexplained breathlessness.
The findings prompt a re-evaluation of routine pre-operative echocardiography protocols for patients undergoing thoracic surgery.