Left Atrial Myxoma Infected With Fusobacterium Nucleatum

Authors

  • José M. Abuelo Department of Surgery and Medico-Surgical Specialities. University of Santiago de Compostela, Spain
  • Javier García Carro Division of Cardiac Surgery, University Hospital, Santiago de Compostela, Spain
  • Javier Caneiro Division of Pathology, University Hospital, Santiago de Compostela, Spain
  • Mohammad El-Diasty Division of Cardiac Surgery, Kingston General Hospital, Kingston, Canada https://orcid.org/0000-0002-1807-8397
  • Angel Luis Fernandez Gonzalez Department of Surgery and Medico-Surgical Specialities. University of Santiago de Compostela, Spain; Division of Cardiac Surgery, University Hospital, Santiago de Compostela, Spain https://orcid.org/0000-0003-1307-8221

DOI:

https://doi.org/10.48729/pjctvs.287

Keywords:

cardiac myxoma, endocarditis, tumor, septic emboli, splenic abscess

Abstract

Cardiac myxomas are the most common primary cardiac tumours in adults. Clinical presentation is variable, with few cases of infected myxomas reported in the literature. We describe a rare case of a 63-year-old patient who presented with splenic abscesses and a left atrial mass suggestive of emboligen myxoma. The patient underwent a successful emergency sur- gical excision of the atrial mass followed by splenectomy. Blood cultures were positive for Fusobacterium nucleatum, whereas the histopathological examination of the excised mass confirmed the presence of a myxoma with a marked inflammatory infiltrate. All these findings allowed us to confirm the diagnosis of definite infected myxoma. Some aspects related to the aetiology, diagnosis and management of this entity are discussed.

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References

Reynen K. Cardiac myxomas. N Engl J Med. 1995; 333: 1610-1617.

Yuan S. Infected cardiac myxoma: an updated review. Braz J Cardiovasc Surg. 2015; 30; 571-578.

Fitzgerald GP, Coughlan JJ, Satti Z, Arnous S. Atrial myxoma presenting as infective endocarditis. BMJ Case Rep. 2018 mar 9; 2018: bcer 2017223656.

Revankar SG, Clark RA. Infected cardiac myxoma. Case report and literature review. Medicine (Baltimore). 1998; 77: 337-344.

Patel N, Arkonac D, Aoi S, Finkielstein D. Infective endocarditis of a left ventricular myxoma in a heroin user. Tex Heart Inst J. 2019; 46: 215-218.

Kawabori M, Benkert AR, Warner KG, Patel AR, Arkun K, Chen FY, Zhan Y. Uncommon cause of fever and embolism: Staphylococcus epidermidis infected myxoma. Ann Thorac Surg. 2019; 107: e283.

García-Quintana A, Martín-Lorenzo P, Suárez de Lezo J, Díaz-Escofet M, Llorens R, Medina A. Infected left atrial myxoma. Rev Esp Cardiol. 2005; 58: 1358-1360.

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Published

05-10-2022

How to Cite

1.
Abuelo JM, García Carro J, Caneiro J, El-Diasty M, Fernandez Gonzalez AL. Left Atrial Myxoma Infected With Fusobacterium Nucleatum. Rev Port Cir Cardiotorac Vasc [Internet]. 2022 Oct. 5 [cited 2024 Dec. 22];29(3):55-7. Available from: https://pjctvs.com/index.php/journal/article/view/287

Issue

Vol. 29 No. 3 (2022): Jul - Sep

Section

Clinical Cases

License

Copyright (c) 2022 Portuguese Journal of Cardiac Thoracic and Vascular Surgery

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This work is licensed under a Creative Commons Attribution 4.0 International License.