Case Report
Volume: 6 | Issue: 4 | Published: Jun 06, 2022 | Pages: 68 - 72 | DOI: 10.24911/ejmcr/173-1641752848
Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports
Authors:
Antoine El Khoury
, Samer Nasr
, Lynn Darwich
, Leen Othman
, Elissa Mahfouz
, Kassem Farhat
, Abbas Jomaa
, Georges Tedy
Article Info
Authors
Antoine El Khoury
Department of Cardiology, Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon
Samer Nasr
Department of Cardiology, Mount Lebanon Hospital affiliated with University of Balamand, Beirut, Lebanon
Lynn Darwich
Department of Medicine, Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon
Leen Othman
Department of Medicine, Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon
Elissa Mahfouz
Department of General Surgery, Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon
Kassem Farhat
Heart Rhythm Institute, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
Abbas Jomaa
Department of Cardiothoracic Surgery, Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon
Georges Tedy
Department of Cardiothoracic Surgery, Mount Lebanon Hospital affiliated with University of Balamand, Beirut, Lebanon.
Publication History
Received: January 09, 2022
Revised: April 23, 2022
Accepted: April 23, 2022
Published: June 06, 2022
Abstract
Background: Primary cardiac tumors originating in the heart are much less frequent than metastasis from other organs. The majority of cardiac tumors are of benign nature and only 25% are estimated to be malignant. Common symptoms of cardiac tumors include systemic embolization, congestive heart failure, and arrhythmias. Case report: We present two cases of cardiac tumors initially causing heart failure symptoms and valvular disease in relatively young patients. These tumors were initially diagnosed as myxomas, but post-op histological studies revealed the presence of angiosarcoma and hamartoma. It is important to differentiate and have a clear diagnosis because some malignant and invading tumors may require the use of adjuvant chemotherapy agents. Conclusion: It should not be taken for granted that cardiac tumors are of benign nature even if initial evaluation is consistent with myxomas. Early resection and pathological study of primary cardiac tumors are important in identifying the tumor type and targeting management.
Keywords: Cardiac tumors, myxoma, Cardiac angiosarcoma, Cardiac hamartoma, case reports, green
