Skip to main content
Log in

The Value of Multi-slice CT Imaging in Cardiac Myxomas in Comparison with Follow-Up Screening in Thoracoscopic Surgery

  • Original Paper
  • Published:
Cell Biochemistry and Biophysics Aims and scope Submit manuscript

Abstract

In this study, we evaluated the ability of multi-slice CT (MSCT) imaging for the diagnosis of cardiac myxomas (CMs) in comparison with follow-up screening in thoracoscopic surgery. 40 consecutive patients who had CMs confirmed by thoracoscopic surgery underwent MSCT scanning. The radiological findings were analyzed to reveal the tumor location, appearance, size, pedicle diameter and originating, and compared with surgical outcomes in the follow-up studies. We found that the tumor location and appearance were all definitely diagnosed in the radiological findings and were consistent with the surgical outcomes with the coincidence rate of 100 %. All the tumors showed heterogeneous enhancement, with a pedicle originating from the atrial septum. Compared with the results of surgical outcomes, the accuracy of MSCT for measuring tumor size and pedicle diameter has no statistical difference. The results indicate that MSCT imaging provides a great incremental value for the diagnosis of CMs in comparison with follow-up screening in thoracoscopic surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Zheng, J. J., Geng, X. G., Wang, H. C., Yan, Y., & Wang, H. Y. (2013). Clinical and histopathological analysis of 66 cases with cardiac myxoma. Asian Pacific Journal of Cancer Prevention, 14(3), 1743–1746.

    Article  PubMed  Google Scholar 

  2. Sun, M. C., Tai, H. C., & Lee, C. H. (2011). Intravenous thrombolysis for embolic stroke due to cardiac myxoma. Case Reports in Neurology, 3, 21–26.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Mlika, M., Ben Youssef, A., Hamrouni, R., Ayadi-Kaddour, A., Kilani, T., & El Mezni, F. (2013). Diagnosis and clinical course of cardiac myxoma. Pathologica, 105(2), 66–68.

    CAS  PubMed  Google Scholar 

  4. Rahmanian, P. B., Castillo, J. G., Sanz, J., Adams, D. H., & Filsoufi, F. (2007). Cardiac myxoma: Preoperative diagnosis using a multimodal imaging approach and surgical outcome in a large contemporary series. Interactive CardioVascular and Thoracic Surgery, 6(4), 479–483.

    Article  PubMed  Google Scholar 

  5. de Isla, L. P., de Castro, R., Zamorano, J. L., Almeria, C., Moreno, R., Moreno, M., et al. (2002). Diagnosis and treatment of cardiac myxomas by transesophageal echocardiography. American Journal of Cardiology, 90, 1419–1421.

    Article  Google Scholar 

  6. Yan, A. T., Connelly, K. A., Graham, J. J., Kirpalani, A., & Crean, A. (2010). Cardiac magnetic resonance imaging of a large prolapsing left atrial myxoma causing pulmonary hypertension and syncope. Canadian Journal of Cardiology, 26(4), 134–135.

    Article  PubMed  Google Scholar 

  7. Genc, B., Solak, A., Sahin, N., Gur, S., Kalaycioglu, S., & Ozturk, V. (2013). Assessment of the coronary venous system by using cardiac CT. Diagnostic and Interventional Radiology, 19(4), 286–293.

    PubMed  Google Scholar 

  8. Kim, E. Y., Choe, Y. H., Sung, K., Park, S. W., Kim, J. H., & Ko, Y. H. (2009). Multidetector CT and MR imaging of cardiac tumors. Korean Journal of Radiology, 10(2), 164–175.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Amano, J., Kono, T., Wada, Y., Zhang, T., Koide, N., Fujimori, M., & Ito, K. (2003). Cardiac myxoma: Its origin and tumor characteristics. Annals of Thoracic and Cardiovascular Surgery, 9(4), 215–221.

    PubMed  Google Scholar 

  10. Aggarwal, S. K., Barik, R., Sarma, T. C., Iyer, V. R., Sai, V., Mishra, J., & Voleti, C. D. (2007). Clinical presentation and investigation findings in cardiac myxomas: New insights from the developing world. American Heart Journal, 154(6), 1102–1107.

    Article  PubMed  Google Scholar 

  11. Elbardissi, A. W., Dearani, J. A., Daly, R. C., Mullany, C. J., Orszulak, T. A., Puga, F. J., & Schaff, H. V. (2008). Survival after resection of primary cardiac tumors: A 48-year experience. Circulation, 118(14 Suppl), S7–S15.

    Article  PubMed  Google Scholar 

  12. Chen, M. Y., Wang, J. H., Chao, S. F., Hsu, Y. H., Wu, D. C., & Lai, C. P. (2003). Cardiac myxoma originating from the anterior mitral leaflet. Japanese Heart Journal, 44(3), 429–434.

    Article  PubMed  Google Scholar 

  13. Tasoglu, I., Tutun, U., Lafci, G., Hijaazi, A., Yener, U., Yalcinkaya, A., et al. (2009). Primary cardiac myxomas: Clinical experience and surgical results in 67 patients. Journal of Cardiac Surgery, 24(3), 256–259.

    Article  PubMed  Google Scholar 

  14. Yoon, J. H., Kim, J. H., Sung, Y. J., Lee, M. H., Cha, M. J., Kang, D. Y., et al. (2011). Cardiac myxoma originating from the anterior mitral valve leaflet. Journal of Cardiovascular Ultrasound, 19(4), 228–231.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Oliveira, R., Branco, L., Galrinho, A., Abreu, A., Abreu, J., Fiarresga, A., et al. (2010). Cardiac myxoma: A 13-year experience in echocardiographic diagnosis. Revista Portuguesa de Cardiologia, 29(7–8), 1087–1100.

    PubMed  Google Scholar 

  16. Sá, M. I., Abreu, A., Cabral, S., Reis, A. H., Torres, S., de Oliveira, F., et al. (2007). Myxoma in the right ventricular outflow tract. Revista Portuguesa de Cardiologia, 26(4), 377–381.

    PubMed  Google Scholar 

  17. Perek, B., Misterski, M., Stefaniak, S., Ligowski, M., Puślecki, M., & Jemielity, M. (2011). Early and long-term outcome of surgery for cardiac myxoma: Experience of a single cardiac surgical centre. Kardiologia Polska, 69(6), 558–564.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hongjun Quan.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Quan, H., Liang, P. & Tan, Y. The Value of Multi-slice CT Imaging in Cardiac Myxomas in Comparison with Follow-Up Screening in Thoracoscopic Surgery. Cell Biochem Biophys 73, 565–569 (2015). https://doi.org/10.1007/s12013-015-0689-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12013-015-0689-2

Keywords

Navigation