Three dimensional echocardiographic imaging of multiple recurrent myxomas

  • Reem Al Sergani College of Medicine, King Saud University, Riyadh, Saudi Arabia.
  • Bander Alamro The Heart Centre, King Faisal Specialist Hospital and Research Centre; College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
  • Mohammed Al Admawi The Heart Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
  • Isra Elmahi College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
  • Gabriella Iannuzzo Department of Clinical and Surgical Medicine, University of Naples Federico II, Italy.
  • Antonio Cittadini Department of Clinical and Surgical Medicine, University of Naples Federico II,, Italy.
  • Domenico Galzerano | domenicogalzerano@libero.it The Heart Centre, King Faisal Specialist Hospital & Research Center; College of Medicine, Alfaisal University, Riyadh, Saudi Arabia. http://orcid.org/0000-0002-9682-3815
  • Khaled M. AlKattan College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.

Abstract

We report a case of a recurrence of 5 cardiac myxomas in both atria with atypical anatomical features difficult to image. Although a multimodality imaging was performed, three-dimensional echocardiography (3DE) was the only technique able to correctly identify all the recurrences and the anatomical characteristics of the myxomas. MRI detected the blood supply of the mass but even after careful review was able to identify only 4 of the 5 lesions. Even though it was already reported the usefulness of 3DE to better delineate the site of attachment of cardiac tumors, it was never reported its sensibility in the setting of multiple myxomas; this case highlights the ability of the 3DE in this challenging scenario and its potential for being considered the key adjunctive modality for the anatomy when advanced surgical plan is required.

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Author Biography

Khaled M. AlKattan, College of Medicine, Alfaisal University, Riyadh

 

 

Published
2020-01-21
Info
Issue
Section
Cardiology - Case Reports
Keywords:
Three-dimensional echocardiography, cardiac myxomas, magnetic resonance imaging, two-dimensional echocardiography
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  • PDF: 209
How to Cite
Al Sergani, R., Alamro, B., Al Admawi, M., Elmahi, I., Iannuzzo, G., Cittadini, A., Galzerano, D., & AlKattan, K. M. (2020). Three dimensional echocardiographic imaging of multiple recurrent myxomas. Monaldi Archives for Chest Disease, 90(1). https://doi.org/10.4081/monaldi.2020.1188