Metastatic multicentric myxoma with invasive behavior: A peculiar and aggressive case of Carney complex

A 42-year-old man presented to the emergency department with a 20-day history of blood-stained sputum. Computed tomography angiography (CTA) of the pulmonary arteries demonstrated multiple low-density filling defects in the main trunk, lobar branches of the pulmonary artery, Superior vena cava (SVC) and right ventricle (RV) (Fig. 1A and B, C, D). One non-calcified nodule and small patchy shadows were noted at right lung field (Fig. 2 E1, E2), which were suspicious of metastasis. Transthoracic echocardiography (TTE) and cardiovascular magnetic resonance imaging (CMR) had revealed a mass within the right atrium (RA) and RV (supplementary files1, 2, Movie 1, 2).
Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Authors: Source Type: research

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CONCLUSION: Preoperative magnetic resonance imaging (MRI) and computed tomography angiography (CTA) can be used for diagnosis of CSHB. Finding and blocking the nutrient arteries during surgery is necessary reduce bleeding. Total tumor resection requires accurately identifying and separating the proliferative area around the tumor. PMID: 31953074 [PubMed - as supplied by publisher]
Source: Neuro-Chirurgie - Category: Neurosurgery Authors: Tags: Neurochirurgie Source Type: research
We report the case of a 14-year-old girl who presented with right-sided weakness and ataxia, loss of sensation, and altered mental status. Magnetic resonance imaging with diffusion-weighted imaging showed an acute lesion in the distribution of the left posterior cerebral artery, and magnetic resonance angiogram demonstrated occlusion of the third branch of the left posterior cerebral artery. With parental consent, clinicians decided to infuse an adult dose of weight-adjusted intravenous alteplase at 3.5 hours from onset of symptoms, with subsequent improvement in National Institutes of Health Stroke Scale score from 11 to ...
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Illustrative Cases Source Type: research
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Source: Biotechnology and Applied Biochemistry - Category: Biochemistry Authors: Tags: Original Article Source Type: research
Conclusion: This first published long-term follow-up of renal coloboma syndrome shows progressive posterior lens opacities, axial myopia, and band keratopathy with only a small decline in visual function over time.
Source: Retinal Cases and Brief Reports - Category: Opthalmology Tags: Case Report Source Type: research
Conclusions: The successful treatment of this patient was the result of the collaboration between the neurology and neuroradiology departments.The first therapeutic option in carotid dissection has to be stenting, under certain conditions. PMID: 31803282 [PubMed]
Source: Journal of Medicine and Life - Category: General Medicine Tags: J Med Life Source Type: research
Conclusion: ASA occlusion was not observed in CCM patients with spinal canal sagittal diameter compression of more than 80%. PMID: 31791211 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research
Publication date: August 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 8Author(s): Beatriz Saldanha Santos, Maria João FerreiraAbstractNon-invasive assessment of ischemic heart disease remains a challenging task, even with a large armory of diagnostic modalities. Positron emission tomography (PET) is an advanced radionuclide technique that has been available for decades. Originally used as a research tool that contributed to advances in the understanding of cardiovascular pathophysiology, it is now becoming established in clinical practice and is increasingly used in the diagnosis...
Source: Revista Portuguesa de Cardiologia - Category: Cardiology Source Type: research
Rationale: Brain arteriovenous malformation (BAVM)-associated varix is always asymptomatic, and no special treatment is needed. However, there is no consensus regarding how to address a varix that has led to clinical manifestation. Patient concerns: An 11-year-old girl was admitted complaining of left hemiparesis for 4 days. She was previously healthy and denied any history of similar ictus. She was alert, and a physical examination performed upon admission was unremarkable except for the left hemiparesis. Diagnoses: Head magnetic resonance imaging (MRI) showed a linear and round flow void and perilesional edema in...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Rationale: Pulmonary embolisms (PEs) are caused by emboli, which mostly originate from deep venous thrombi that travel to and suddenly block the pulmonary arteries. The emboli are usually thrombi, and right atrial myxoma emboli are rare. Patient concerns: A 55-year-old man presented with shortness of breath and syncope. We proceeded with computed tomography pulmonary angiography (CTPA) and transthoracic echocardiogram (TTE), the results of which suggested that the diagnosis was a right atrial mass. Diagnosis: A definitive diagnosis compatible with a right atrial myxoma (RAM) with tumoral pulmonary emboli after surg...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Rationale: Although implantation of Amplatzer membranous ventricular septal defect occluder (AVSDO) is an alternation to surgical treatment, the interventional therapy is disapproved by FDA due to high incidence of complete atrioventricular block (cAVB) post closure during early and middle term follow-up. However, long-term outcomes of the accumulating numbers of patients who had received AVSDO in the past decades, still remain an issue of concern and late occurrence of potentially catastrophic heart block long after hospital discharge is especially worrying, but rarely documented. We firstly reported a pediatric case wi...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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