Infected papillary fibroelastoma attached to the atrial septum

Circulation Journal : Official Journal of the Japanese Circulation Society
Takafumi KojiTakeshi Nakano

Abstract

A 61-year-old woman had intermittent fever of 2 months' duration following a dental extraction. On admission, her body temperature was 39.2 degrees C. A mid-systolic murmur was heard at the apex on ausculation. A 2-dimensional echocardiogram revealed a mobile, heavy stick-like mass with vegetation (5.0 x 1.5 cm) attached to the left atrial septum. Multiple blood cultures grew Streptococcus constellatus. On diagnosis of an infected left atrial myxoma, antibiotics were administered daily and 4 weeks later, the left atrial tumor was resected. The tumor was 5.3cm long, 1.5cm in diameter at the inter-atrial wall and had vegetation on the free edge. On microscopic examination, colonies of Gram-positive cocci were found in the thrombus, on the papillary fibroelastoma. After treatment with antibiotics for a further 4 weeks, the patient was discharged. This is the first report of infected papillary fibroelastoma.

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Citations

May 1, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroyuki TanakaDaijirou Kishi
Mar 4, 2011·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Kirsten TolstrupRobert J Siegel
Apr 1, 2009·The American Journal of Medicine·Marisa HolubarArun Singh
May 30, 2008·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·Gursharan S SoorJagdish Butany
Mar 21, 2008·Seminars in Diagnostic Pathology·Pradeep Vaideeswar, Jagdish W Butany
Oct 12, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Faisal LatifChittur A Sivaram
Jul 9, 2005·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Yoram NeumanRobert J Siegel
Jul 13, 2004·Journal of Cardiac Surgery·Jagdish ButanyChristopher Fiendel
Mar 29, 2014·Cardiology in the Young·Nawal AzhariGhaith Barefah

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