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Published on: June 11, 2019
[Сardiac myxoma: challenge in diagnostics. Case report]
V V Fomin1, E A Kogan1, N S Morozova1
1Sechenov First Moscow State Medical University (Sechenov University).
Cardiac myxoma, the most common benign heart tumor, is often diagnosed promptly with advanced imaging. This case highlights challenges in diagnosis leading to a late discovery of a giant left atrial myxoma, ultimately treated successfully.
Area of Science:
- Cardiology
- Oncology
Context:
- Cardiac myxoma is the most frequent primary benign cardiac tumor, accounting for up to 50% of primary cardiac neoplasms.
- Modern imaging modalities like 2D echocardiography, CT, and MRI facilitate early diagnosis.
- However, atypical clinical presentations and physician awareness can delay diagnosis.
Purpose:
- To report a case of a giant left atrial myxoma with a delayed diagnosis.
- To discuss factors contributing to the misdiagnosis or delayed diagnosis of cardiac myxoma.
- To emphasize the importance of timely diagnosis and successful surgical intervention.
Summary:
- This case report details a giant left atrial myxoma diagnosed relatively late due to various contributing factors.
- Despite the delayed diagnosis, the patient underwent successful surgical treatment.
- The report underscores the challenges in recognizing cardiac myxoma despite available diagnostic tools.
Impact:
- Highlights the potential for misdiagnosis of cardiac myxoma, even with advanced imaging.
- Reinforces the necessity of considering cardiac myxoma in differential diagnoses.
- Demonstrates the efficacy of surgical treatment for large cardiac myxomas.
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