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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2008 August;167(4):199-202

language: English

Fibromuscular tissue mimicking right atrial myxoma. A case report and review of the literature

Oneglia C. 1, Cantamessa P. 1, Gualeni A. 1, Negri A. 2, Gambarotti M. 3

1 Cardiology Unit, Ospedale “S.Orsola” Fatebenefratelli, Brescia, Italy
2 Cardiac Surgery Unit University of Brescia Medical School, Brescia, Italy
3 Second Institute of Pathology University of Brescia Medical School, Brescia, Italy


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Cardiac myxomas are the most common primary tumors of the heart, generally but not exclusively occurring in the left atrium. They can be well defined with magnetic resonance imaging (MRI) which has a recognized important role in the evaluation of suspected neoplastic cardiac diseases. We report the case of a patient with transesophageal echocardiographic (TEE) diagnosis of right atrial myxoma which was confirmed by gadolinium-enhanced nuclear magnetic resonance of the heart. Nevertheless, the histology of the surgical sample was consistent with fibromuscular tissue, which was so giving origin to a “pseudomyxoma”. A review of similar anomalies as reported by the current literature is made.

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