Primary cardiac malignancy presenting as left atrial myxoma. Clinical and surgical considerations

F. Donatelli, M. Pocar, A. Moneta, M. A. Mariani, S. Pelenghi, M. Triggiani, F. Santoro, A. Grossi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Primary heart neoplasms occur in 0.002-0.3% of autopsies: 30% are myxomas and 20-30% are malignancies, almost always sarcomas. Cardiac metastases are 10 to 40 times more frequent than primary heart cancer. We describe a case of a left atrial sarcoma erroneously diagnosed as myxomas preoperatively. Standard surgical indication for resection of cardiac myxomas is based on echocardiography. Because of the severity of cardiac malignant lesions than can mimic atrial myxomas at echocardiography, through preoperative investigation should be accomplished, best by magnetic resonance imaging. In case of suspected malignangy, total body computed tomography should be performed to avoid unnecessary cardiac operations in case of disseminated cancer. To date the only good medium and long-term results in the therapeutic management of heart sarcomas have been achieved by transplantation: the probable explanation is that criteria of surgical radicality should be those followed for soft tissue tumors located elsewhere in the organism.

Original languageEnglish
Pages (from-to)585-588
Number of pages4
JournalMinerva Chirurgica
Volume51
Issue number7-8
Publication statusPublished - Jul 1996

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Myxoma
Sarcoma
Heart Neoplasms
Echocardiography
Neoplasms
Autopsy
Transplantation
Tomography
Magnetic Resonance Imaging
Neoplasm Metastasis
Therapeutics

Keywords

  • Echocardiography
  • Heart neoplasms
  • Magnetic resonance imaging
  • Myxoma
  • Soft tissue neoplasms
  • Transplantation

ASJC Scopus subject areas

  • Surgery

Cite this

Donatelli, F., Pocar, M., Moneta, A., Mariani, M. A., Pelenghi, S., Triggiani, M., ... Grossi, A. (1996). Primary cardiac malignancy presenting as left atrial myxoma. Clinical and surgical considerations. Minerva Chirurgica, 51(7-8), 585-588.

Primary cardiac malignancy presenting as left atrial myxoma. Clinical and surgical considerations. / Donatelli, F.; Pocar, M.; Moneta, A.; Mariani, M. A.; Pelenghi, S.; Triggiani, M.; Santoro, F.; Grossi, A.

In: Minerva Chirurgica, Vol. 51, No. 7-8, 07.1996, p. 585-588.

Research output: Contribution to journalArticle

Donatelli, F, Pocar, M, Moneta, A, Mariani, MA, Pelenghi, S, Triggiani, M, Santoro, F & Grossi, A 1996, 'Primary cardiac malignancy presenting as left atrial myxoma. Clinical and surgical considerations', Minerva Chirurgica, vol. 51, no. 7-8, pp. 585-588.
Donatelli F, Pocar M, Moneta A, Mariani MA, Pelenghi S, Triggiani M et al. Primary cardiac malignancy presenting as left atrial myxoma. Clinical and surgical considerations. Minerva Chirurgica. 1996 Jul;51(7-8):585-588.
Donatelli, F. ; Pocar, M. ; Moneta, A. ; Mariani, M. A. ; Pelenghi, S. ; Triggiani, M. ; Santoro, F. ; Grossi, A. / Primary cardiac malignancy presenting as left atrial myxoma. Clinical and surgical considerations. In: Minerva Chirurgica. 1996 ; Vol. 51, No. 7-8. pp. 585-588.
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