Document Detail

Cardiac myxoma. Clinical and pathologic features in 15 cases.
MedLine Citation:
PMID:  3172679     Owner:  NLM     Status:  MEDLINE    
Neoplasms are rare cardiac findings of which myxomas comprise about 75%. We report of 15 patients, predominantly female (60%) with a mean age of 58.8 years. Male patients (40%) were 20 years younger on average. 80% of these tumors developed in the left atrium fixed to the atrial septum. In 2 patients the right ventricle and in 1 patient the right atrium was involved. No left ventricular or bilateral tumors were found. Clinical findings showed a great variety of symptoms. Often misdiagnosis was established until echocardiography was performed. Major symptoms were dyspnea (80%), elevated erythrocyte sedimentation rate (73%), arrhythmias (53%), lung edema (47%), embolization (40%) and anemia (40%). Pathological examination and tumor genesis are still in discussion. Several theories are reported in literature: a true thrombus, thrombus organization with malignant potential, true neoplasms as well as a familiar myxoma complex may explain clinical and histological features. Our findings did not confirm only one theory but emphasize different possibilities.
C Schmid; S Paterakis; J A Likungu; P G Kirchhoff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Klinische Wochenschrift     Volume:  66     ISSN:  0023-2173     ISO Abbreviation:  Klin. Wochenschr.     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-11-23     Completed Date:  1988-11-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985205R     Medline TA:  Klin Wochenschr     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  713-7     Citation Subset:  IM    
Universitätsklinik Bonn, Herz- und Gefässchirurgie.
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MeSH Terms
Child, Preschool
Heart Atria / pathology
Heart Neoplasms / pathology*,  surgery
Heart Septum / pathology
Middle Aged
Myxoma / pathology*,  surgery
Thrombosis / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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