Journal article
Angina pectoris in a patient with protein C deficiency and deep vein thrombosis: Thrombus versus myxoma?
Catheterization and Cardiovascular Interventions, Vol.79(2), pp.291-293
02/01/2012
DOI: 10.1002/ccd.23102
Abstract
A 55-year-old Caucasian man with history of hypertension, diabetes mellitus, protein C deficiency, and deep vein thrombosis presented with typical angina. Both computed tomography and transesophageal echocardiography identified a mobile mass in left atrium but could not differentiate between thrombus and myxoma. A cardiac catheterization with coronary angiography demonstrated tumor neovascularization, suggestive of myxoma. Pathology examination after mass resection confirmed the diagnosis. Patients with myxoma could present with obstructive, embolic, or constitutional symptoms. However, typical angina has never been reported as the primary manifestation. Although being helpful, various noninvasive imaging modalities, including magnetic resonance image, often have limitations to help making a definitive diagnosis, before surgery decision, especially under hypercoagulable condition. In contrast, cardiac catheterization can help not only in differentiation diagnosis but also in detecting possible intracoronary embolization from myxoma. In patients with myxoma complicated with hypercoagulable disorders, anticoagulation will play essential role in long-term care
Details
- Title: Subtitle
- Angina pectoris in a patient with protein C deficiency and deep vein thrombosis: Thrombus versus myxoma?
- Creators
- Shilpa Kshatriya - SUNY Upstate Medical UniversityDaniel Villarreal - SUNY Upstate Medical UniversityKan Liu - SUNY Upstate Medical University
- Resource Type
- Journal article
- Publication Details
- Catheterization and Cardiovascular Interventions, Vol.79(2), pp.291-293
- Publisher
- Wiley Subscription Services, Inc., A Wiley Company; Hoboken
- DOI
- 10.1002/ccd.23102
- ISSN
- 1522-1946
- eISSN
- 1522-726X
- Number of pages
- 3
- Language
- English
- Date published
- 02/01/2012
- Academic Unit
- Cardiovascular Medicine; Internal Medicine; Radiology
- Record Identifier
- 9984318694202771
Metrics
1 Record Views