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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
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Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
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Confounding giant right atrial mass.

Sefa Tatar1, Ahmet Taha Sahin2, Mehmet Işık3

  • 1Department of Cardiology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey. ssefa_tatar@hotmail.com.

The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology
|August 18, 2024
PubMed
Summary

Primary cardiac tumors are rare, with myxomas and hydatid cysts presenting as right atrial masses. Echocardiography aids diagnosis, and surgical resection is the standard treatment for these benign and rare conditions.

Keywords:
Atrial myxomasCardiac tumorsHydatid cystSurgery

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Diagnostic Imaging

Background:

  • Primary cardiac tumors are uncommon, with benign types like myxomas being more frequent than rare cardiac hydatid cysts.
  • Shortness of breath is a common symptom for patients with cardiac masses.
  • Echocardiography is the primary diagnostic tool for detecting cardiac tumors.

Purpose of the Study:

  • To present two distinct cases of right atrial masses: a myxoma and a hydatid cyst.
  • To highlight the diagnostic and management approaches for these uncommon cardiac conditions.

Main Methods:

  • Case report detailing two patients presenting with shortness of breath.
  • Echocardiography utilized for mass identification and characterization.
  • Surgical resection performed for both diagnosed cardiac masses.

Main Results:

  • A 51-year-old female diagnosed with a 65x35mm right atrial myxoma, surgically resected.
  • A 55-year-old male diagnosed with a right atrial hydatid cyst, surgically resected.
  • Both patients underwent successful surgical excision of their respective right atrial masses.

Conclusions:

  • Right atrial myxomas often present with nonspecific symptoms like shortness of breath.
  • Hydatid cysts should be considered in the differential diagnosis of right atrial masses, especially when infection is suspected.
  • Prompt diagnosis via echocardiography and surgical intervention are crucial for managing right atrial masses.