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Atrialised right ventricular myxoma in a patient with Ebstein’s anomaly

Summary

Ebstein’s anomaly is a rare entity affecting around 1 in 200,000 live births and accounts for less than 1% of congenital heart diseases. Ebstein’s anomaly with an associated right-sided myxoma is extremely rare, with only one other case report found in the literature. Previous reports have also noted cases of Ebstein’s anomaly associated with left-sided myxomas. We describe a female patient with, to our knowledge, the first case of a histopathologically confirmed right ventricular myxoma in the setting of Ebstein’s anomaly.

References

  1. Correa-Villasenor A, Ferencz C, Neill CA, Wilson PD & Boughman JA. For the Baltimore-Washington Infant Study Group. Ebstein’s malformation of the tricuspid valve: genetic and environmental factors. Teratology 199450 137–147. https://doi.org/10.1002/tera.1420500208)

    Article  CAS  Google Scholar 

  2. Al Ani H. Adult Ebstein anomaly with right atrial myxoma. Iraqi Academic Scientific Journals 20065 240–245.

    Google Scholar 

  3. Poniku A, Selmani H, Ahmeti A & Bajraktari G. Ebstein malformation associated with left atrium myxoma. International Cardiovascular Forum Journal 20151 198. https://doi.org/10.17987/icfj.v1i4.54)

    Article  Google Scholar 

  4. Sharma GK. Atrial myxoma. Accessed on 1 June 2017. New York, NY, USA: Medscape LLC, 2017. (available at: http://emedicine.medscape.com/article/151362-overview)

    Google Scholar 

  5. Obrenovic-Kircanski B, Mikic A, Parapid B, Djukić P, Kanjuh V, Milić N, Kovačević-Kostić N, Velinović M, Seferović P & Vraneš M. A 30-year-single-center experience in atrial myxomas: from presentation to treatment and prognosis. Thoracic and Cardiovascular Surgeon 201361 530–536. https://doi.org/10.1055/s-0032-1322545)

    PubMed  Google Scholar 

  6. Patil NP, Dutta N, Satyarthy S, Geelani MA, Kumar Satsangi D & Banerjee A. Cardiac myxomas: experience over one decade. Journal of Cardiac Surgery 201126 355–359. https://doi.org/10.1111/j.1540-8191.2011.01271.x)

    Article  Google Scholar 

  7. Zheng JJ, Geng XG, Wang HC, Yan Y & Wang HY. Clinical and histopathological analysis of 66 cases with cardiac myxoma. Asian Pacific Journal of Cancer Prevention 201314 1743–1736. https://doi.org/10.7314/APJCP.2013.14.3.1743)

    Article  Google Scholar 

  8. Furukawa A, Kishi S & Aoki J. Large infected atrial myxoma with vegetations. Revista Española de Cardiología 201366 310. https://doi.org/10.1016/j.rec.2011.03.031)

    Article  Google Scholar 

  9. Jang KH, Shin DH, Lee C, Jang JK, Cheong S & Yoo SY. Left atrial mass with stalk: thrombus or myxoma? Journal of Cardiovascular Ultrasound 201018 154–156. https://doi.org/10.4250/jcu.2010.18.4.154)

    Article  Google Scholar 

  10. Riaz K. Ebstein anomaly treatment and management. Accessed on 1 June 2017. New York, NY, USA: Medscape LLC, 2017. (available at: {rs http://emedicine.medscape.com/article/154447)

    Google Scholar 

  11. Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA, del Nido P, Fasules JW, Graham TP Jr, Hijazi ZM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Developed in Collaboration with the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Intervention. Journal of the American College of Cardiology 200852 e143–e263. https://doi.org/10.1016/j.jacc.2008.10.001)

    Article  Google Scholar 

  12. da Silva JP, da Silva LdF. Ebstein’s anomaly of the tricuspid valve: the cone repair. Pediatric Cardiac Surgery Annual 201215 38–45. https://doi.org/10.1053/j.pcsu.2012.01.008)

    PubMed  Google Scholar 

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Correspondence to T-J. John.

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John, TJ., Snyman, H.W., Janson, J. et al. Atrialised right ventricular myxoma in a patient with Ebstein’s anomaly. Echo Res Pract 5, K23–K27 (2018). https://doi.org/10.1530/ERP-17-0065

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  • DOI: https://doi.org/10.1530/ERP-17-0065

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