Lethal mass mimicking myxoma in the heart

A 70-year-old man presented in advanced heart failure with jaundice. Transthoracic echocardiography revealed a 21 × 24-mm mass in the left atrium attached to the posterior mitral valve leaflet. Surgical excision was attempted, but the tumor had infiltrated the entire left atrial wall and was deemed...

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Bibliographic Details
Published inAsian cardiovascular & thoracic annals Vol. 22; no. 8; pp. 962 - 964
Main Authors Soo, Wern Miin, Pang, Yin Huei, Poh, Kian-Keong
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.10.2014
Subjects
Biopsy
Diagnosis, Differential
Fatal Outcome
Heart Failure - etiology
Heart Neoplasms - complications
Heart Neoplasms - pathology
Humans
Jaundice, Obstructive - etiology
Liver Neoplasms - complications
Liver Neoplasms - secondary
Male
Mitral Valve - diagnostic imaging
Mitral Valve - pathology
Multiple Organ Failure
Myxoma - pathology
Neoplasm Invasiveness
Predictive Value of Tests
Sarcoma - complications
Sarcoma - secondary
Ultrasonography
Sarcoma
Mitral valve stenosis
Heart neoplasms
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ISSN0218-4923
1816-5370
1816-5370
DOI10.1177/0218492313488896

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Summary:A 70-year-old man presented in advanced heart failure with jaundice. Transthoracic echocardiography revealed a 21 × 24-mm mass in the left atrium attached to the posterior mitral valve leaflet. Surgical excision was attempted, but the tumor had infiltrated the entire left atrial wall and was deemed too extensive to be resectable. Histology confirmed a high-grade pleomorphic sarcoma with malignant fibrous histiocytoma-like features. Liver biopsy revealed a high-grade liver sarcoma.
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SourceType-Scholarly Journals-1
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ISSN:0218-4923
1816-5370
1816-5370
DOI:10.1177/0218492313488896