ABSTRACT
Divided left atrium or Cor Triatriatum, is a congenital cardiac malformation having low incidence during paediatric age, ranging between 0.1 - 0.4%. Its appearance in adulthood is even more exceptional and often inadvertently discovered, although symptomatic manifestations could entail an interesting differential diagnosis. We present an elderly patient with asymptomatic Cor Triatriatum.
Subject(s)
Cor Triatriatum/diagnosis , Cor Triatriatum/surgery , Age Factors , Aged , Coronary Artery Bypass/methods , Humans , MaleABSTRACT
Primary cardiac tumors are infrequent and usually benign. They can manifest as dyspnea, chest pain, palpitations, sudden death, peripheral embolism, cyanosis, or general symptoms. They are sometimes an incidental finding in an asymptomatic patient. We describe a 33-year-old man who was seen because of dyspnea and palpitations. Transthoracic echocardiography revealed, on the lateral wall of the left ventricle, an intramyocardial mass that was successfully resected surgically. The pathologic diagnosis was hamartoma of mature cardiac myocytes. We discuss the usefulness of imaging techniques for identifying cardiac masses.
Subject(s)
Hamartoma/diagnosis , Heart Diseases/diagnosis , Adult , Humans , MaleABSTRACT
Los tumores cardíacos primarios son infrecuentes y habitualmente benignos. Pueden manifestarse con disnea, dolor torácico, palpitaciones, muerte súbita, embolia periférica, cianosis o síndrome constitucional. A veces es un hallazgo casual en un individuo asintomático. Presentamos el caso de 1 paciente de 33 años que consultó por disnea y palpitaciones. El ecocardiograma transtorácico reveló una masa intramiocárdica en la pared lateral del ventrículo izquierdo. Fue extirpada quirúrgicamente con éxito. El diagnóstico anatomo-patológico fue de hamartoma de células miocárdicas maduras. Se discute la utilidad de las pruebas de imagen en el estudio y la definición de las masas cardíacas
Primary cardiac tumors are infrequent and usually benign.They can manifest as dyspnea, chest pain, palpitations, sudden death, peripheral embolism, cyanosis, orgeneral symptoms. They are sometimes an incidental finding in an asymptomatic patient. We describe a 33-yearoldman who was seen because of dyspnea and palpitations. Transthoracic echocardiography revealed, on the lateral wall of the left ventricle, an intramyocardial mass that was successfully resected surgically. The pathologic diagnosis was hamartoma of mature cardiac myocytes. We discuss the usefulness of imaging techniques for identifying cardiac masses
