Cardiac myxoma as a cause of ischemia in children. Case report

Keywords: cardiac myxoma, cardiac tumors, pediatric, kids

Abstract

Cardiac myxoma is one of the most frequent benign tumors among cardiac tumors. It is characterized by the obstruction of blood flow due to thrombosis or embolus, resulting in heart failure with ventricular dysfunction, orthostatic syncope, ischemia of different organs depending on the affected artery, and even sudden death. We present 2 cases in pediatric patients: the first case, an adolescent with ischemic stroke and the second case is an adolescent with ischemia in the lower limbs due to a thromboembolism in the distal aorta. In both cases, the exeresis of the tumor was performed successfully.

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References

(1) Tzani A, Doulamis IP, Mylonas KS, Avgerinos DV, Nasioudis D. Cardiac Tumors in Pediatric Patients: A Systematic Review. World J Pediatr Congenit Heart Surg. 2017 Sep;8(5):624-632. doi: 10.1177/2150135117723904.

(2) Mlika M, Ben Youssef A, Hamrouni R, Ayadi-Kaddour A, Kilani T, El Mezni F. Diagnosis and clinical course of cardiac myxoma. Pathologica. 2013 Apr;105(2):66-8.

(3) Li H, Guo H, Xiong H, Xu J, Wang W, Hu S. Clinical Features and Surgical Results of Right Atrial Myxoma. J Card Surg 2016;31:15–17. doi: 10.1111/jocs.12663

(4) Zheng JJ, Geng XG, Wang HC, Yan Y, Wang HY. Clinical and histopathological analysis of 66 cases with cardiac myxoma. Asian Pac J Cancer Prev. 2013;14(3):1743-6. doi: 10.7314/ apjcp.2013.14.3.1743.

(5) Gerlach RM, Chaney MA. Commentary: Cutaneous presentation of cardiac myxoma. JTCVS Tech. 2020 Jan 10;1:72. doi: 10.1016/j. xjtc.2020.01.011.

(6) Garcia-Carretero R, Naranjo-Mansilla G, Luna-Heredia E, Arias- Baldo P, Beamonte-Vela BN. Incidental Finding of a Left Atrial Myxoma While Characterising an Autoimmune Disease. J Crit Care Med (Targu Mures). 2018 Apr 1;4(2):64-67. doi: 10.2478/jccm- 2018-0009.

(7) Fanlo P, Jayne D. PR3-ANCA associated retinal vasculitis and atrial myxoma. Rheumatology (Oxford). 2021 Jan 5;60(1):e5-e6. doi: 10.1093/rheumatology/keaa263.

(8) Salobir B, Sabovic M, Kozelj M. Increased levels of antiphospholipid antibodies in a woman with left atrial myxoma and systemic embo- lisms.Lupus.2001;10(11):815-7.doi:10.1177/096120330101001109.

(9) Karima T, Bouthaina B, Abdeddayem H, Wafa F. Giant cardiac myxoma in a patient with thrombocytopenia: is there a physiopa- thologic link? (a case report). Pan Afr Med J. 2020 Dec 16;37:348. doi: 10.11604/pamj.2020.37.348.26109.

(10) Boehme C, Zangerle A, Mayer L, Toell T, Knoflach M, Willeit J, et al. Excess Interleukin-6 Production and Multiple Ischemic Strokes – What is the Link?. Austin J Clin Neurol 2017; 4(4): 1115.

(11) Shi L, Wu L, Fang H, Han B, Yang J, Ma X, et al. Identification and clinical course of 166 pediatric cardiac tumors. Eur J Pediatr. 2017 Feb;176(2):253-260. doi: 10.1007/s00431-016-2833-4.

(12) Zheng JJ, Geng XG, Wang HC, Yan Y, Wang HY. Clinical and histopathological analysis of 66 cases with cardiac myxoma. Asian Pac J Cancer Prev. 2013;14(3):1743-6. doi: 10.7314/apjcp. 2013.14.3.1743.

(13) Bielefeld KJ, Moller JH. Cardiac tumors in infants and children: study of 120 operated patients. Pediatr Cardiol. 2013 Jan;34(1):125-8. doi: 10.1007/s00246-012-0399-0.

(14) Salehi R, Mirtajaddini M, Chenaghlou M, Faridi L. Multiple recurren- ces in a nonfamilial cardiac myxoma. Res Cardiovasc Med 2021;10:26-8.

Published
2023-12-22
How to Cite
1.
Quintero L, Kegler J, Filizzola R, Greco AJ, Morel Z. Cardiac myxoma as a cause of ischemia in children. Case report. Rev. parag. reumatol. [Internet]. 2023Dec.22 [cited 2025Apr.18];9(2):81-3. Available from: http://revista.spr.org.py/index.php/spr/article/view/193
Section
CASE REPORTS