| Angina pectoris in a patient with protein C deficiency and deep vein thrombosis: Thrombus versus Myxoma? | |
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MedLine Citation:
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PMID: 21523888 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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A 55 year old Caucasian male with history of hypertension, diabetes mellitus, protein C deficiency and deep vein thrombosis presented with typical angina. Both computed tomography and transesophageal echocardiography identified a mobile mass in left atrium, but could not differentiate between thrombus and myxoma. A cardiac catheterization with coronary angiography demonstrated tumor neovascularization, suggestive of myxoma. Pathology examination after mass resection confirmed the diagnosis. Patients with myxoma could present with obstructive, embolic, or constitutional symptoms. However, typical angina has never been reported as the primary manifestation. Even though being helpful, various noninvasive imaging modalities, including magnetic resonance image, often have limitations to help making a definitive diagnosis, before surgery decision, especially under hypercoagulable condition. In contrast, cardiac catheterization can help not only in differentiation diagnosis, but also in detecting possible intracoronary embolization from myxoma. In patients with myxoma complicated with hypercoagulable disorders, anticoagulation will play essential role in long term care. © 2011 Wiley-Liss, Inc. |
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Authors:
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Shilpa Kshatriya; Daniel Villarreal; Kan Liu |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-26 |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: - ISSN: 1522-726X ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Wiley-Liss, Inc. |
Affiliation:
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SUNY Upstate Medical University and Veterans Affairs Medical Center, Syracuse, NY. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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