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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2024; 13(01): e25-e28
DOI: 10.1055/a-2334-7158
Case Report: Cardiac

Transcaval and Intracardiac Extension of Type A Thymoma and Myxoma: A Report of Two Rare Cases

Zulfugar T. Taghiyev 
1   Department of Adult and Pediatric Cardiovascular Surgery, University Hospital of Giessen and Marburg, Giessen, Germany
2   Department of Cardiothoracic Surgery, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Germany
,
Lili-Marie Beier
1   Department of Adult and Pediatric Cardiovascular Surgery, University Hospital of Giessen and Marburg, Giessen, Germany
,
Vadim Moustafine
2   Department of Cardiothoracic Surgery, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Germany
,
Matthias Bechtel
2   Department of Cardiothoracic Surgery, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Germany
,
Justus T. Strauch
2   Department of Cardiothoracic Surgery, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Germany
,
Andreas Boening
1   Department of Adult and Pediatric Cardiovascular Surgery, University Hospital of Giessen and Marburg, Giessen, Germany
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Abstract

We report two cases of rare invasive tumors presenting with transvenous and intracardiac extensions. In one instance, an unusual invasive thymoma type A penetrated into the heart chamber; the other case was an extension of a myxoma into the right atrium that was associated with superior vena cava syndrome. Our interest was stimulated by the rarity of these clinicopathological observations and the unusual clinical features of diagnostic and therapeutic methods presented by these cases.

Keywords

invasive thymoma - myxoma - intracardiac tumor

Patients' Consent

Written informed consent was obtained from the patients for the publication of these case reports and any accompanying images. Copies of the written consent forms are available for review.




Publikationsverlauf

Eingereicht: 23. Januar 2024

Angenommen: 01. Mai 2024

Accepted Manuscript online:
28. Mai 2024

Artikel online veröffentlicht:
25. Juni 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Song Y, Hu R, Yao Q. Pathological analysis of 268 cases of tumors in the heart and the pericardium. J SUN Yat-sen-Univ Med Sci 2003; 24: 197-201
    PubMedGoogle Scholar
  • 2 Roberts WC. Primary and secondary neoplasms of the heart. Am J Cardiol 1997; 80 (05) 671-682
    CrossrefPubMedGoogle Scholar
  • 3 Nina VJ, Silva NA, Gaspar SF. et al. Atypical size and location of a right atrial myxoma: a case report. J Med Case Rep 2012; 6: 26
    CrossrefPubMedGoogle Scholar
  • 4 Yu K, Liu Y, Wang H, Hu S, Long C. Epidemiological and pathological characteristics of cardiac tumors: a clinical study of 242 cases. Interact Cardiovasc Thorac Surg 2007; 6 (05) 636-639
    CrossrefPubMedGoogle Scholar
  • 5 Gleeson RE, Price R, Nicholson AG, Pastorino U. Invasive thymoma extending to the right atrium: excision without cardiopulmonary bypass. J Cardiovasc Surg (Torino) 1997; 38 (04) 429-431
    PubMedGoogle Scholar
  • 6 Chen JC, Bongard F, Klein SR. A contemporary perspective on superior vena cava syndrome. Am J Surg 1990; 160 (02) 207-211
    CrossrefPubMedGoogle Scholar
  • 7 Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore) 2001; 80 (03) 159-172
    CrossrefPubMedGoogle Scholar
  • 8 Peachell JL, Mullen JC, Bentley MJ, Taylor DA. Biatrial myxoma: a rare cardiac tumor. Ann Thorac Surg 1998; 65 (06) 1768-1769
    CrossrefPubMedGoogle Scholar
  • 9 Travis WD, Brambilla E, Burke AP, Marx A, Nicholson AG. Introduction to the 2015 World Health Organization classification of tumors of the lung, pleura, thymus, and heart. J Thorac Oncol 2015; 10 (09) 1240-1242
    CrossrefPubMedGoogle Scholar
  • 10 Marx A, Chan JK, Coindre JM. et al. The 2015 World Health Organization classification of tumors of the thymus: continuity and changes. J Thorac Oncol 2015; 10 (10) 1383-1395
    CrossrefPubMedGoogle Scholar
  • 11 Jain RK, Mehta RJ, Henley JD, Kesler KA, Loehrer PJ, Badve S. WHO types A and AB thymomas: not always benign. Mod Pathol 2010; 23 (12) 1641-1649
    CrossrefPubMedGoogle Scholar
  • 12 Vladislav T, Jain RK, Alvarez R. et al. Extrathoracic metastases of thymic origin: a review of 35 cases. Mod Pathol 2012; 25 (03) 370-377
    CrossrefPubMedGoogle Scholar
  • 13 Moran CA, Kalhor N, Suster S. Invasive spindle cell thymomas (WHO Type A): a clinicopathologic correlation of 41 cases. Am J Clin Pathol 2010; 134 (05) 793-798
    CrossrefPubMedGoogle Scholar
  • 14 Lamparter S, Moosdorf R, Maisch B. Giant left atrial mass in an asymptomatic patient. Heart 2004; 90 (05) e24-e24
    CrossrefPubMedGoogle Scholar
  • 15 Diaz A, Di Salvo C, Lawrence D, Hayward M. Left atrial and right ventricular myxoma: an uncommon presentation of a rare tumour. Interact Cardiovasc Thorac Surg 2011; 12 (04) 622-623
    CrossrefPubMedGoogle Scholar
  • 16 Reynen K, Köckeritz U, Strasser RH. Metastases to the heart. Ann Oncol 2004; 15 (03) 375-381
    CrossrefPubMedGoogle Scholar
  • 17 Stolf NA, Benício A, Moreira LFP, Rossi E. Mixoma de átrio direito com origem na veia cava inferior: uma localização rara com implicações diagnósticas e terapêuticas. Rev Bras Cir Cardiovasc 2000; 15: 255-258
    CrossrefPubMedGoogle Scholar
  • 18 Piciucchi S, Barone D, Sanna S. et al. The azygos vein pathway: an overview from anatomical variations to pathological changes. Insights Imaging 2014; 5 (05) 619-628
    CrossrefPubMedGoogle Scholar
  • 19 Kapur S, Paik E, Rezaei A, Vu DN. Where there is blood, there is a way: unusual collateral vessels in superior and inferior vena cava obstruction. Radiographics 2010; 30 (01) 67-78
    CrossrefPubMedGoogle Scholar