Ossifying cardiac myxoma with neovascularity.
We report a 64-year-old man with ossifying cardiac myxoma which radiographically demonstrated visible calcification. A lateral chest radiograph showed abnormal calcification in the cardiac shadow. Two-dimensional and transesophageal echocardiography revealed a heterogeneous mass with a hyperechoic lesion in the left artium. A coronary angiogram showed a neovascular formation extending from the coronary arteries to the tumor. The resected tumor was composed of round or spindle shaped cells with myxoid stroma, accompanied by extensive calcification and ossification containing fatty and hematopoietic marrow tissue. Although a left atrial calcified myxoma is less common than a right sided myxoma, and such radiographically detectable calcified tumors are rare, the presence of radiographic visualized calcification in the cardiac shadow should be ruled out for left as well as right atrial myxomas.
Nishida
Takahiro
T
Department of Cardiovascular Surgery, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Tomita
Yukihiro
Y
Mizobe
Keisuke
K
Inokuchi
Kosuke
K
Sunagawa
Kenji
K
Morita
Shigeki
S
D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D006325:Heart Atria; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D009999:Ossification, Heterotopic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery