Atrial Myxoma with a Dual Coronary Artery Supply

• 作者: Asta Blaskauskaite Jesper Eske Sindby Massar Omar Svend Eggert Jensen Tomas Zaremba
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: Atrial MYXOMA Cardiac TUMOUR CORONARY Angiography Stroke ECHOCARDIOGRAPHY EMBOLISM CORONARY VASCULARISATION Case Report
• 年，卷（期）: 2017,（6）
• 页码范围: 368-374
• 页数: 7页
• 分类号: R5

摘要

Primary cardiac tumours are rare, with myxoma being the most common benign heart tumour. The prevalence of coronary disease or neovascular in patients with atrial myxomas is high, yet angiography is not routinely performed. Echocardiography is preferred for evaluation of myxoma, where coronary angiography clarifies the vascular supply of the tumour and may alter the surgical planning. We here report an interesting and rare case of a left atrial myxoma hyper vascularised by two anomalous arteries, from right coronary artery and circumflex artery demonstrated by preoperative coronary angiography. The mass was successfully excised and the diagnosis of cardiac myxoma was confirmed via histopathology. A review of the value of coronary angiography in detecting myxoma neovascularization is provided. Offering additional valuable information, coronary angiography can alter the surgical approach and may therefore be considered prior to myxoma resection.