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Published on: June 11, 2019
Cardiac myxomas: clinical presentation, diagnosis and management
Andres G Griborio-Guzman1,2, Olexiy I Aseyev3,4, Hyder Shah5
1Division of Cardiology, Department of Internal Medicine, Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ontario, Canada agriborioguzman@nosm.ca.
Cardiac myxomas (CM), common primary heart tumors, require prompt diagnosis and surgical removal. Early detection and treatment lead to excellent prognoses, with survival rates comparable to the general population.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Cardiac myxomas (CM) are the most frequent primary cardiac tumors in adults.
- They originate from multipotent mesenchyme and typically present as atrial masses.
Purpose of the Study:
- To review the literature on cardiac myxomas.
- Covering clinical presentation, diagnosis, management, and prognosis.
Main Methods:
- Literature review summarizing existing studies on cardiac myxomas.
- Analysis of clinical, imaging (echocardiogram, CT, MRI), and histopathological findings.
Main Results:
- Cardiac myxomas can cause diverse symptoms, including constitutional, embolic, and obstructive signs.
- Diagnosis relies on a combination of clinical presentation, imaging, and histopathology (CD31, CD34 positive).
Conclusions:
- Prompt surgical resection offers an excellent prognosis for cardiac myxomas.
- Post-surgical survival rates are comparable to the general population.
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