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Atrial angioleiomyoma with myopericytoma-like features: a case report

Hussein Nassereddine1, Aurélie Cazes2, Constance Verdonk3

  • 1AP-HP, Bichat-Hospital, Department of Pathology, Paris Descartes University, Paris, France.

Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology
|February 22, 2017
PubMed

Insights

A rare angioleiomyoma (ALM) was surgically resected from the right atrium. This benign tumor, typically found elsewhere, can mimic cardiac myxoma.

Area of Science:

  • Cardiovascular Pathology
  • Surgical Oncology

Background:

  • A 66-year-old female presented with a right atrial mass.
  • History of cerebrovascular accident secondary to carotid artery stenosis.

Observation:

  • Transthoracic and transesophageal echocardiography identified a 3.4-cm right atrial mass.
  • Surgical resection of the mass located in the interatrial septum.

Findings:

  • Microscopic evaluation confirmed the mass as an angioleiomyoma (ALM).
  • Histological features distinct from atrial myxoma.

Implications:

  • Angioleiomyoma, though common in other locations, is a novel finding in the atrium.
  • ALM should be included in the differential diagnosis for atrial tumors, alongside cardiac myxoma.

Keywords:
AngioleiomyomaAtriaCardiac tumorCase report

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