Hamartomas of mature cardiac myocytes are a rare type of primary cardiac tumor, with only 5 cases of interventricular septal involvement reported to date. They are often challenging to diagnose, and there is currently no standardized approach to surgical resection. Here, we present a rare case of a large 6.0 × 4.4 × 3.8-cm interventricular septal hamartoma that manifested with cardiac cachexia in a teenage patient. Surgical biopsy was used after 4 attempts at endomyocardial biopsy were nondiagnostic, and partial debulking was performed as complete resection was not feasible.
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http://dx.doi.org/10.1016/j.atssr.2023.04.005 | DOI Listing |
J Pers Med
December 2024
Radiological Sciences Section, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, AOUP "Paolo Giaccone", Via del Vespro 129, 90127 Palermo, Italy.
Nasal and paranasal sinus masses can arise from a wide range of conditions, both benign and malignant, as well as congenital or acquired. Diagnosing these masses is often challenging, requiring a combination of nasal endoscopy, imaging studies, and histopathological analysis. Initial imaging frequently involves computed tomography or cone beam computed tomography (CBCT) to evaluate the bony anatomy of the nasal cavity and surrounding sinuses, while magnetic resonance imaging (MRI) is typically used for detailed assessment of soft tissues and to aid in differential diagnosis when the findings are inconclusive.
View Article and Find Full Text PDFCureus
June 2024
Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, USA.
Hamartoma of mature cardiac myocytes (HMCM) is a rare, benign cardiac tumor. We report a case of a 19-year-old female with an atypical presentation, including significant weight loss and abnormal electrocardiogram. A transthoracic echocardiogram (TTE) revealed a mass causing left ventricular outflow tract (LVOT) obstruction, confirmed by cardiac magnetic resonance (CMR) imaging showing a 5 x 3 cm mass contiguous with the right ventricular free wall and exhibiting heterogeneous, diffuse late gadolinium enhancement.
View Article and Find Full Text PDFThe article describes a clinical case of cardiac rhabdomyoma first diagnosed in an 18-year-old girl. At the age of 12 months, the patient first developed generalized, prolonged convulsive seizure with the eyeballs rolling upward, tonic arm tension, and profuse salivation. From 1.
View Article and Find Full Text PDFAnn Thorac Surg Short Rep
September 2023
Department of Cardiothoracic Surgery, Stanford University, Stanford, California.
Hamartomas of mature cardiac myocytes are a rare type of primary cardiac tumor, with only 5 cases of interventricular septal involvement reported to date. They are often challenging to diagnose, and there is currently no standardized approach to surgical resection. Here, we present a rare case of a large 6.
View Article and Find Full Text PDFMethodist Debakey Cardiovasc J
October 2022
Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas, USA.
Cardiac tumors in adults are exceedingly rare and usually benign. We describe a 29-year-old man with a previous diagnosis of interventricular septal hypertrophy who presented with increasing severity of dyspnea and fatigue. Work-up revealed a 4.
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