– Os mixomas de válvula cardíaca são extremamente raros.
– O mixoma cardíaco (MC) é uma neoplasia benigna e representa a mais comum entre os tumores cardíacos primários em adultos.
– Todavia, embora a maioria dos mixomas seja classificada como benigna, há a remota possibilidade de acometimentos mais sérios como a invasão da parede torácica, embolização, insuficiência cardíaca, síncope e até morte súbita.
– O átrio esquerdo (AE) é o local de origem mais comum (75–80%), seguido do átrio direito.
– O mixoma cardíaco apresenta diversos tipos de manifestações, principalmente sintomas obstrutivos, podendo produzir embolias, sendo o pior dos cenários.
– Os mixomas são tratados com ressecção total cirúrgica. – Pacientes com mixomas tem um bom prognóstico com taxa de sobrevida após a cirurgia de 90%.
■ Apresentação de mixoma atrial com sintomatologia neurológica em paciente idosa: relato de caso
B J C Lima, A B Andrade, J M M Garcia et al
Revista Médica de Minas Gerais 2020, vol 30: 1-3
http://www.rmmg.org/artigo/detalhes/2637
■ Mixoma Atrial Recorrente em Paciente com Complexo de Carney. Relato de Caso e Revisão de Literatura
Cervantes-Molina, Laura A. et al.
Arq. Bras. Cardiol., Abr 2020, vol.114, no.4, suppl.1, p.31-33
https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2020000500031&lng=en&nrm=iso
■ Massa Valvar Mitral em Paciente com Suspeita de Lúpus Sistêmico: Tumor, Endocardite ou Ambos?.
Coutinho, Thiago Sant’Anna et al.
Arq. Bras. Cardiol., Dez 2020, vol.115, no.6, p.1201-1204
https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2020001401201&lng=en&nrm=iso
■ A case report of atrial myxoma presenting with systemic embolization and myocardial infarction
Ahmad Nawid Latifi, Uzochukwu Ibe, Joseph Gnanaraj
Eur Heart J Case Rep. 2019 Sep; 3(3): ytz104
https://academic.oup.com/ehjcr/article/3/3/ytz104/5531201
■ Pulmonary embolism as the initial manifestation of right atrial myxoma: a case report and review of the literature
Guofeng Ma, Dan Wang, Yongtao He, et al
Medicine (Baltimore) 2019 Dec; 98(51): e18386
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940114/
■ Cardiac myxoma with cerebral metástases and chronic lumphocytic leukemiaa/small lymphocytic lymphoma: a case report and review
Jared A. Maas, Manuel Menes, Vitaly Siomin
J Neurol Surg Rep. 2020 Jan; 81(1): e1–e6
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012640/
■ Right atrial myxoma with coexistente coronary artery disease – a rare combination
Ashok Garg, Deepak Agrawal, G. L. Sharma
J Cardiovasc Echogr. 2020 Apr-Jun; 30(2): 100–103
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706367/
■ Right atrioventricular myxoma presenting with recurrent syncopal attacks
Abdullah M. Saadeh, Emad M. Hijazi, Nesreen A. Saadeh
Am J Case Rep. 2021; 22: e927874-1–e927874-4
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883939/
■ Severe functional mitral stenosis due to a left atrial myxoma masquerading as asthma
Ufara Zuwasti, Ricardo Quarrie, Elizabeth Allen, Christopher Haas
BMJ Case Rep. 2020; 13(12): e236876
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7747612/
■ Atrial myxoma with cerebelar signs: a case report
Suraj Shrestha, Akash Raut, Amar Jayswal et al
J Med Case Rep. 2020; 14: 29.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017557/
■ Atrial myxoma – an unusual cause of ischemic stroke in young
Ravdeep Singh Sohal, Khushdeep Kaur Shergill, et al
Autops Case Rep. 2020; 10(4): e2020178
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7703370/
■ Medical management of a suspected atrial myxoma in a nonagenarian
Jessica Kawall, Rajeev Seecheran, Valmiki Seecheran et al
SAGE Open Med Case Rep. 2020; 8: 2050313X20933484
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7343351/
■ Prominent right ventricular mass in a young patient with a history of classic testicular seminoma: a case report
Christopher Hohmann, Alexander C Bunck, David Pfister, Guido Michels
Eur Heart J Case Rep. 2019 Mar; 3(1): yty167
https://academic.oup.com/ehjcr/article/3/1/yty167/5283511
■ A right atrial myxoma presenting with misleading features of acalculous cholecystitits
Ioannis G Lempesis, Anna Naxaki, Eirini Koukoufiki, et al
Oxf Med Case Reports. 2020 Feb; 2020(2): omaa012
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048078/
■ Left atrial myxoma in pregnancy: management strategy using minimally invasive surgical approach
Noppon Taksaudom, Kuntharee Traisrisilp, Rungsrit Kanjanavanit
Case Rep Cardiol. 2017; 2017: 8510160
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5439244/
■ The mysterious mitral mass: a case of valvular myxoma
Ramy Mando, Julian J. Barbat, Alessandro Vivacqua
Case Rep Cardiol. 2018; 2018: 3927948
https://www.hindawi.com/journals/cric/2018/3927948/
■ Left atrial myxoma presenting as lateral medullary (Wallenber´s syndrome)
Simran Gupta, Ricky Ayala, Aakash Desai, Viraj I. Modi, Robert J. Nardino
Case Rep Cardiol. 2019; 2019: 5610213
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6881562/
■ Atrial myxoma presenting as abdominal pain: an unusual association
Faisal Inayat, Amna Hussain, Iqra Riaz, et a
BMJ Case Rep. 2019; 12(2): e228447
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441244/
■ Intraoperative embolism of a right atrial myxoma: a case report
Konstantinos Papadopoulos, Christos Alexiou, Ozge Ozden Tok, Mani A Vannan
Eur Heart J Case Rep. 2020 Dec; 4(6): 1–4
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7793044/
■ Patient with Atrial Myxoma and Signs of Obstruction of the Left Ventricular Outflow Tract
Freire, Antonio Fernando Diniz et al.
Arq. Bras. Cardiol., Mar 2017, vol.108, no.3, p.281-282
https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2017000300281&lng=en&nrm=iso
■ Dr Paulo Fernando Leite
Cardiologia/Prevenção Cardiovascular
Consultório: Rua Padre Rolim 815/sala 601 – Belo Horizonte/MG/Brasil
Tel: 33245518
CRMMG: 7026
Email: pfleite1873@gmail.com
Blog Internet Médica – www.internetmedica.com.br
Data: março 2021