Open AccessCardiac myxoma with cartilaginous differentiation-An uncommon variant presented as mitral stenosis
Author(s) -
Sunil Vitthalrao Jagtap,
Pravin Salunkhe,
Avinash Mane,
Sujata Kumbhar,
Purva Mayekar,
Saswati Boral
Publication year - 2019
Publication title -
indian journal of pathology and microbiology/indian journal of pathology and microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.217
H-Index - 31
eISSN - 0974-5130
pISSN - 0377-4929
DOI - 10.4103/ijpm.ijpm_281_19
Subject(s) - myxoma , medicine , palpitations , interatrial septum , cardiology , mitral valve , left atrial myxoma , radiology , magnetic resonance imaging , stenosis , cardiac magnetic resonance imaging , left atrium , atrial fibrillation
The estimated incidence of primary cardiac tumors is extremely rare. Among it, cardiac myxoma represents the most common benign cardiac tumor constituting about 80% of cases. We are presenting a 30-year-old female with large left atrial myxoma. She was presented with severe dyspnea, palpitations, and systolic murmurs. On 2D echocardiography, left atrial mass obstructing mitral flow was noted. On cardiac magnetic resonance imaging, a single, large, mobile pedunculated mass lesion in left atrium attached to inferior interatrial septum with heterogeneous enhancement was noted, which was likely represented to be myxoma. The mass was surgically excised and valve repairing was done. We received large, solid, lobulated, gray white, soft-to-firm mass measuring 4.5 × 4.1 × 2.5 cm, and on microscopy showed cardiac myxoma with cartilaginous differentiation. We are presenting this case for its clinical, imaging, and uncommon histological features.