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Cureus. 2021 Aug 20;13(8):e17324. doi: 10.7759/cureus.17324. eCollection 2021 Aug.

Concurrent Primary Cardiac Tumors in a High-Risk Patient Presenting With Tamponade.

Cureus

Jay V Gopal, Lauren Crowley, Shawn M Quinn, Timothy S Misselbeck, Joseph B Zackary

Affiliations

  1. Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, University of South Florida Morsani College of Medicine, Bethlehem, USA.
  2. Department of Surgery, Lehigh Valley Health Network, University of South Florida Morsani College of Medicine, Bethlehem, USA.

PMID: 34567871 PMCID: PMC8451529 DOI: 10.7759/cureus.17324

Abstract

Primary cardiac tumors are rare, particularly in the elderly population. The patient described in this report presented with symptoms of dyspnea on exertion, leg swelling, and weight gain and was found to have two histologically distinct cardiac masses: atrial myxoma with concurrent aortic fibroelastoma. Given her history of cirrhosis and end-stage renal disease, the patient was a poor surgical candidate but opted for excision of both masses. The patient eventually succumbed to her cirrhosis six weeks after presentation. In this report, we advocate for further research into medical management for the unique presentation of concurrent primary cardiac tumors in high-operative-risk patients, particularly those whose symptoms are mostly due to tamponade.

Copyright © 2021, Gopal et al.

Keywords: atrial myxoma; emergency echocardiography; imminent mitral annular obstruction; primary cardiac tumors; tamponade

Conflict of interest statement

The authors have declared that no competing interests exist.

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