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Differential diagnosis and morphological and functional characteristics of atrial myxoma

https://doi.org/10.15829/1560-4071-2020-3794

Abstract

Right atrial myxoma is one of the rare diseases in cardiology practice. It is accompanied by an unclear clinical picture, and in most cases is asymptomatic and is an incidental finding. The article is devoted to the clinical observation of primary cardiac tumor and the difficulties of its differential diagnosis.

Patient T, 58 years old, was hospitalized in a respiratory medicine center with complaints of cough with viscous sputum, weakness, fatigue, loss of appetite, shortness of breath on exertion, weight loss and sweating at night. The preliminary diagnosis was an exacerbation of chronic bronchitis. Then a space-occupying mass in the right atrium was revealed. Computed tomography imaging identified a bilateral pulmonary embolism. In the cardiac surgery department, surgical removal of the right atrial myxoma was performed.

The diagnosis of right atrial myxoma was established by echocardiography, confirmed macroscopically during surgery, and then by histological verification.

About the Authors

O. A. Sukhorukova
Federal Siberian Research Clinical Center
Russian Federation

functional diagnostics doctor

Krasnoyarsk


Competing Interests: not


A. A. Parno
Krasnoyarsk Regional Pathoanatomical Bureau
Russian Federation

doctor - pathologist

Krasnoyarsk


Competing Interests: not


V. V. Mayer
V F Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

student

Krasnoyarsk


Competing Interests: not


A. E. Ali-Riza
V. F. Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

Doctor of Medical Sciences, Professor, Department of Forensic Medicine and Pathological Anatomy professors P.G. Podzolkova with a software course.

Krasnoyarsk


Competing Interests: not


E. V. Semichev
Federal Siberian Research Clinical Center
Russian Federation

Doctor of Medical Sciences, Head of the Scientific Department, Endoscopist.

Krasnoyarsk


Competing Interests: not


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Review

For citations:


Sukhorukova O.A., Parno A.A., Mayer V.V., Ali-Riza A.E., Semichev E.V. Differential diagnosis and morphological and functional characteristics of atrial myxoma. Russian Journal of Cardiology. 2020;25(5):3794. (In Russ.) https://doi.org/10.15829/1560-4071-2020-3794

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)