• Title/Summary/Keyword: Cardiac Tumor

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Tetralogy of Fallot Associated with Multiple Cardiac Rhabdomyomas - A case report - (다발성 심장 횡문근종과 동반된 활로씨 사징증 - 1예 보고 -)

  • Jung, Hee-Suk;Jhang, Won-Kyoung;Yun, Tae-Jin
    • Journal of Chest Surgery
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    • v.42 no.6
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    • pp.770-773
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    • 2009
  • Rhabdomyoma has been reported to be the most common type of cardiac tumors in fetuses and children, and multiple cardiac rhabdomyomas almost certainly signify the association with tuberous sclerosis. We report here on a case of Tetralogy of Fallot (ToF) that was associated with multiple rhabdomyomas and tuberous sclerosis. A two-year-old boy, who had undergone systemic-pulmonary shunt during the neonatal period, received total correction of his ToF after the complete regression of the cardiac tumor. The postoperative course was uneventful, and he has been follow-up for 2 months. The boy is currently in an excellent condition.

Difficulties in Differentiating Cardiac Lymphoma and Metastasis Based on Radiologic Features: Two Case Reports (영상 소견으로 감별이 어려운 원발성 심장 림프종과 심장 전이암: 2예 보고)

  • Hyun Jae Lim;Song Soo Kim;Kye Taek Ahn;Kun Ho Kim;Jin Hwan Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1575-1580
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    • 2021
  • Cardiac tumors are rare diseases with various imaging findings. However, differentiating cardiac tumors based on imaging findings is challenging because of similarities in imaging features. We present two cases of cardiac tumors, including primary cardiac lymphoma and cardiac metastasis, in which the differential diagnosis was difficult.

Recurrent acinic cell carcinoma in the parotid gland with cardiac metastasis and hypertrophic osteoarthropathy (심장 전이와 비후성 골관절증을 동반한 재발성 이하선 선방세포암)

  • Jung, Sung Yun;Lee, Dong Won;Gu, Min Geun;Kwon, Tae Hun;Ko, Sung Ae;Choi, Joon Hyuk;Sohn, Jang Won;Hyun, Myung Soo
    • Journal of Yeungnam Medical Science
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    • v.31 no.1
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    • pp.33-37
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    • 2014
  • Acinic cell carcinoma (ACC) is an uncommon malignant tumor of the salivary glands that is difficult to diagnose. It grows slowly and shows distant metastasis rarely. We experienced a case of recurrent ACC in the parotid gland with cardiac metastasis and hypertrophic osteoarthropathy. The 29-year-old man had been suffering from severe multiple bones and joints pain for 2 months. Ten years earlier, he underwent superficial parotidectomy due to a right subauricular mass. The mass was diagnosed with ACC. After surgery, the tumor recurred twice. Then the patient was diagnosed with cardiac metastasis via positron emission tomography-computed tomography and trans-thoracic echocardiography. He also had hypertrophic osteoarthropathy with multiple bone metastasis. He was given palliative radiotherapy and conservative treatment. ACC in the parotid gland with cardiac metastasis and hypertrophic osteoarthropathy has not yet been reported in literature. From this case, it is recommended to evaluate multiple distant metastasis in the ACC of the parotid gland when joint and bone pain are present.

Primary Cardiac Lymphoma : 1 Case Report (원발성 심장 림프종 : 1례 보고)

  • Bae, Jun-Ho;Lee, Jong-Suk;Kim, Hyung-Jun;Kim, Min-Kyung;Park, Young-Ho;Hong, Gue-Ru;Park, Jong-Sun;Sin, Dong-Gu;Kim, Young-Jo;Sim, Bong-Sup
    • Journal of Yeungnam Medical Science
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    • v.17 no.1
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    • pp.82-86
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    • 2000
  • Primary cardiac lymphoma, defined as involving only the heart and pericardiwn, is very rare and is diagnosed predominantly late in the course of illness or autopsy. This tumor is commonly fatal and until recently were rarely diagnosed antemortem. Recently, it was reported in patients with acquired immunodeficiency syndrome. We report a case of primary cardiac lymphoma in a 56 year old female who showed progressive exertional dyspnea. On echocardiogram and CT scan, a large ill defined mass was demonstrated in right atrial and ventricular wall. It was diagnosed as B-cell type lymphoma on open cardiac biopsy.

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Right Ventricular Myxoma Obstructing Right Ventricular Outflow Tract (점액종에 의한 우심실 유출로 협착)

  • Song Kwang-Jae;Yun Tae-Jin
    • Journal of Chest Surgery
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    • v.39 no.8 s.265
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    • pp.637-639
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    • 2006
  • Cardiac myxoma is the most common primary tumor of the heart, but right ventricular myxoma causing outflow obstruction is relatively rare. A 15 years old girl developed dyspnea on exertion and intermittent syncope caused by a right ventricular mass obstructing the right ventricle outflow tract. Transthoracic echocardiography revealed $3.6{\times}3.0\;cm$ sized pedunculated subpumonic mass originating from the right ventricular anterior free wall. The patient underwent an emergency operation, consisting of the removal of the mass by wide excision of the tumor base and PTFE (polytetrafluoroethylene) patching of the right ventricular anterior free wall defect. Pathological findings of the mass were compatible with myxoma, and the patient was discharged uneventfully 7 days after the operation.

A Calcified Amorphous Tumor in the Left Atrium: A Case Report (좌심방에서 발생한 석회화 무정형 종양: 증례 보고)

  • Min Seong Kim;Jin Young Kim;Mu Sook Lee;Jung Hee Hong;Hye Won Lee;Nam Hee Park;Yoon Seok Kim
    • Journal of the Korean Society of Radiology
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    • v.85 no.5
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    • pp.965-969
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    • 2024
  • Calcified amorphous tumors (CATs) of the heart are rare non-neoplastic cardiac masses primarily found in the mitral valve or annulus. However, their exact pathogenesis remains unknown. In this case report, we describe the CT and MRI findings and differentiating features of cardiac a CAT in the left atrium of a 79-year-old female.

Multiple Primary Cardiac Malignant Peripheral Nerve Sheath Tumors in the Left Atrium: Case Report

  • Li, Junfei;Chen, Qiansu;Yu, Shaomei;Yang, Siyuan
    • Journal of Chest Surgery
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    • v.54 no.5
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    • pp.422-424
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    • 2021
  • Malignant peripheral nerve sheath tumors are rare sarcomas of the heart. Herein, we report the case of a 24-year-old man who complained of dyspnea, cough, and upper left back pain. He was found to have multiple primary heart tumors obstructing the right superior pulmonary vein in the left atrium, which were diagnosed as malignant peripheral nerve sheath tumors. The patient underwent successful resection of the tumors and immunohistochemistry was utilized for diagnosis.

Cardiac Autotransplantation with Concurrent Pneumonectomy for Complete Resection of Primary Cardiac Intimal Sarcoma

  • Ku, Min Jung;Kim, Su Wan;Lee, Seogjae;Chang, Jee Won;Lee, Jonggeun;Jeong, Dong Seop
    • Journal of Chest Surgery
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    • v.53 no.3
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    • pp.140-143
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    • 2020
  • Primary cardiac sarcoma is rare, and intimal sarcoma is an extremely rare and highly lethal disease. We report a case of a 62-year-old woman who was incidentally diagnosed with a primary cardiac sarcoma originating from the left atrial appendage and extending to the left superior pulmonary vein. The location of the tumor was very complicated, posing a major challenge for complete resection. We successfully performed complete resection of the cardiac sarcoma via cardiac autotransplantation with left pneumonectomy. The patient recovered uneventfully, without any adjuvant therapy as of 6 months postoperatively. Autotransplantation of the heart may be suggested as a reasonable surgical option for extensive left atrial tumors.

A fatal case of acute pulmonary embolism caused by right ventricular masses of acute lymphoblastic lymphoma-leukemia in a 13 year old girl

  • Ko, Yu-Mi;Lee, Soo-Hyun;Huh, June;Koo, Hong-Hoe;Yang, Ji-Hyuk
    • Clinical and Experimental Pediatrics
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    • v.55 no.7
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    • pp.249-253
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    • 2012
  • We report a case of a 13-year-old girl with acute lymphoblastic lymphoma- leukemia, who presented with a cardiac metastasis in the right ventricle, resulting in a pulmonary embolism. At the time of her leukemia diagnosis, a cardiac mass was incidentally found. The differential diagnosis for this unusual cardiac mass included cardiac tumor, metastasis, vegetation, and thrombus. Empirical treatment was initiated, including anticoagulation and antibiotics. She underwent plasmapheresis and was administered oral prednisolone for her leukemia. Five days later, she experienced sudden hemodynamic collapse and required extracorporeal membrane oxygenation insertion and emergency surgery. These interventions proved futile, and the patient died. Pathology revealed that the cardiac mass comprised an aggregation of small, round, necrotic cells consistent with leukemia. This is the first known case of acute lymphoblastic leukemia presenting as a right ventricular mass, with consequent fatal acute pulmonary embolism. A cardiac mass in a child with acute leukemia merits investigation to rule out every possible etiology, including vegetation, thrombus, and even a mass of leukemic cells, which could result in the fatal complication of pulmonary embolism.

Saddle Embolism Caused by Left Atrial Myxoma -A Case Report- (안장 색전증을 유발한 좌심방 점액종 -수술 치험 1례-)

  • 송정근
    • Journal of Chest Surgery
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    • v.28 no.3
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    • pp.316-319
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    • 1995
  • Systemic emboli occur in approximately one-third of patients with cardiac myxoma. Embolization is common because of the friability of the tumor and intracardiac location. Embolic episodes in young patients with normal sinus rhythm should arouse suspicions of cardiac myxoma in the absence of active endocarditis. We present one case of 17 years old girl having saddle embolism combined with left atrial myxoma. We planned staged operation. First, the emergency thromboembolectomy of aortic bifurcation was performed through bilateral transfemoral approach with use of Forgaty catheter. One week later, the extirpation of myxoma was successfully done with ECC.

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