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Azapagasi E, Uysal Yazici M, Ari ME, Karakaya RS, Cınar HG, Tasar M, Gucer S. Giant Right Atrial Myxoma with Fulminant Progression in an Infant. J Pediatr Intensive Care 2020; 11:77-82. [DOI: 10.1055/s-0040-1715849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Accepted: 07/02/2020] [Indexed: 10/23/2022] Open
Abstract
AbstractCardiac myxoma is rare in children. Myxomas are exceedingly rare in infancy. Right atrial myxomas were recorded in a small number of case reports involving infants worldwide. We report the case of a 2-month-old infant with giant right atrial myxoma. The case presented to our hospital with respiratory distress, and had pericardial and pleural effusion. Diagnosis of cardiac tumor was made with the aid of computerized tomography scan and echocardiogram. The tumor size was 3.1 × 3.4 × 3.9 cm. The patient worsened rapidly and had sudden cardiac arrest which did not respond to interventions. Postmortem cardiac autopsy confirmed the diagnosis of myxoma on gross examination and histology. This article aims to focus attention to the atypical size and location of this atrial myxoma, causing diagnostic difficulty in this infant.
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Affiliation(s)
- Ebru Azapagasi
- Division of Pediatric Intensive Care Unit, Dr. Sami Ulus Maternity and Children’s Training and Research Hospital, Ankara, Turkey
| | - Mutlu Uysal Yazici
- Division of Pediatric Intensive Care Unit, Dr. Sami Ulus Maternity and Children’s Training and Research Hospital, Ankara, Turkey
| | - Mehmet Emre Ari
- Division of Pediatric Cardiology, Dr. Sami Ulus Maternity and Children’s Training and Research Hospital, Ankara, Turkey
| | | | - Hasibe Gökçe Cınar
- Department of Radiology, Dr. Sami Ulus Children’s Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Mehmet Tasar
- Department of Pediatric Cardiovascular Surgery, Dr. Sami Uĺus Chiĺdren’s Heaĺth and Diseases Training and Research Hospitaĺ, Ankara, Turkey
| | - Safak Gucer
- Departman of Pediatric Pathoĺogy, Hacettepe University Facuĺty of Medicine, Ankara, Turkey
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