Abstract
Primary cardiac tumors are extremely rare pathology and occur in the general population in 0.0017–0.19% of cases [1]. Among all primary
tumors, 50–80% of cases are myxomas. It is well known that myxoma can be revealed at any age in both males and females, but
they are more common in female patients aged 35–65 years. The distinction of the presented case is a large tumor detected in 4-yearold
boy who presented with signs of nonspecific inflammation (fever, vasculitis, rash, elevated ESR) and no pathognomonic symptoms
of this disease (embolism, symptoms of mitral stenosis). The main diadnostic method for cardiac myxoma is echocardiography, and it
was used for diagnosis in this case later confirmed intraoperatively and by histological examination. In conclusion, it should be noted that
the surgical intervention is the only effective treatment for left atrial myxoma.
References
1. Reynen K. Cardiac myxomas. N. Engl. J. Med. 1995; 333: 1610–7.
2. Цукерман Г.И., Малашенков А.И., Кавсадзе В.Э. Опухоли сердца. М.: НЦССХ им. А.Н. Бакулева РАМН; 1999.
3. Bloor C.M., O’Rourke R.A. Cardiac tumors: clinical presentations and pathology correlations. Curr. Probl. Cardiol. 1984; 9 (1): 1–48.
4. Read R.C. Cardiac myxoma and surgical history. Ann. Thorac. Surg. 1980; 29 (5): 395–9.
5. Бураковский В.И., Бокерия Л.А. (ред.) Сердечно-сосудистая хирургия: руководство. М.: Медицина; 1996: 460–6.
6. Gavrielatos G., Letsas K.P., Pappas L.K. et al. Large left atrial myxoma presented as fever of unknown origin: a challenging diagnosis and a
review of the literature. Cardiovasc. Pathol. 2007; 6: 365–7.
7. Цукерман Г.И., Косач Г.А., Голосовская М.А. и др. Диагностика и оперативное лечение миксом сердца. Клин. мед. 1983; 61 (10):
67–73.
8. Манукян Г.А., Елоян С.Л., Кандарян К.А. и др. К диагностике первичных опухолей сердца. Ревматология. 1984; 4: 51–3.
9. Yadav S., Alvarez J.M. Catastrophic presentation of atrial myxoma with total occlusion of abdominal aorta. Interact. Cardiovasc. Thorac.
Surg. 2009; 9: 913–5.
10. Василенко Е.П., Белинский В.П. О диагностике миксом сердца. Врач. дело. 1985; 7: 78–81.
11. Lazaros G., Vavuranakis M., Vrachatis D.A., Stefanadis C.A. 53-year-old woman with recurrent transient ischemic attacks. Chest. 2010;
138: 1004–9.
12. Pérez de Isla L., de Castro R., Zamorano J.L. et al. Diagnosis and treatment of cardiac myxomas by transesophageal echocardiography.
Am. J. Cardiol. 2002; 90: 1419–21.
