How does knowledge of the blood supply to an intracardiac tumour help?

BMJ Case Reports
Prabha Nini GuptaVelenurre Rajagopalan Rajeshekharan

Abstract

Myxoma is a common benign tumour found in the heart. On reviewing literature, we found some left atrial myxomas receive blood supply from the right coronary artery. Performing a coronary angiogram in a cardiac tumour has the following uses: (1) it shows the vascularity that can be ligated by the surgeon at operation; (2) if there is a blood supply visible, it may not be an intracardiac thrombus; (3) the coronary angiogram may detect a myxoma even before an echocardiogram does so; (4) some myxomas may bleed into the right atrium or left atrium and this may be seen on coronary angiography. We show here the neovascularity of a left atrial myxoma and its blood supply from the right coronary artery. We recommend that all routine coronary angiograms be reviewed carefully for any signs of tumour vascularity or tumour blush as this would prevent missing early myxomas. Echocardiography is the gold standard for detection of myxomas but literature has a number of intracardiac tumours that were detected only by the tumour blush. Some left atrial tumours have been treated by occluding their blood supply.The absence of a blood supply on coronary angiography could rule out a benign cardiac tumour that usually has a blood supply.

References

Jul 1, 1976·British Heart Journal·N D BermanJ E Morch
Jun 1, 1992·Catheterization and Cardiovascular Diagnosis·J J FoxV Sethi
Nov 1, 1983·AJR. American Journal of Roentgenology·K K RasmussenJ R Nellen
Jan 1, 1984·Cardiovascular and Interventional Radiology·R SchmolinerJ Slany
Jan 1, 1994·Japanese Heart Journal·T GomiM Tani
Oct 1, 1995·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·P J FitzgeraldJ B Tyrrell
Dec 29, 1999·The Journal of Thoracic and Cardiovascular Surgery·T KonoJ Amano
Feb 5, 2000·The New England Journal of Medicine·J I Sawaya, H A Dakik
Sep 19, 2000·Radiographics : a Review Publication of the Radiological Society of North America, Inc·P A AraozJ F Breen
May 8, 2003·Surgery Today·Nevzat ErdilHarun Tatar
Oct 18, 2003·Fetal Diagnosis and Therapy·M TollensR Oberhoffer
Aug 18, 2004·Cardiovascular Ultrasound·Hans-Peter DübelAdrian Constantin Borges
May 17, 2005·Heart·W W YapV Pathi
Aug 24, 2005·Circulation·Stephane MoniotteAndrew J Powell
Jul 24, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yoan LamarcheLouis P Perrault
May 1, 2008·Journal of Cardiothoracic Surgery·Mattheos PanagiotouEfstratios N Koletsis
Mar 10, 2009·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Eun Young KimYoung-Hyeh Ko
Jul 22, 2009·AJR. American Journal of Roentgenology·David H O'DonnellJonathan D Dodd
Mar 25, 2011·Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır·Hakan HasdemirIzzet Erdinler
Feb 22, 2012·ISRN Cardiology·C M Steger
Sep 26, 2012·BMJ Case Reports·Rebecca DobsonArzu Cubukcu
Nov 5, 2014·The British Journal of Radiology·A AbbasS P Harden
May 12, 2015·Case Reports in Cardiology·Demet Menekse GeredeMustafa Kilıckap
Feb 18, 2016·Case Reports in Cardiology·Marcos Danillo Peixoto OliveiraPedro Alves Lemos
May 5, 2016·Circulation·Pierre-Emmanuel NolyYoan Lamarche
Aug 18, 2016·American Journal of Obstetrics and Gynecology·Jack RychikHolly L Hedrick
Aug 30, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Poovendran SaththasivamRoy Sheinbaum
Dec 7, 2016·Radiology Case Reports·Alexandre Semionov, Karl Sayegh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Cardiovascular and Interventional Radiology
R N SinghG J Magovern
Archives of Internal Medicine
W H SpencerE S Orgain
Arkhiv patologii
M A Golosovskaia
© 2022 Meta ULC. All rights reserved