Natural history of an atrial myxoma

The case described is an 89-year-old male patient with a left atrial myxoma, first visualised in 1997, who was a poor operative candidate owing to severe chronic obstructive pulmonary disease (COPD). The tumour had a cross-sectional growth rate of only 0.2 cm2 per year and was asymptomatic over 79 m...

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Bibliographic Details
Published in:Age and ageing 2005-03, Vol.34 (2), p.186-188
Main Authors: Ullah, Waqas, McGovern, Rory
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
asymptomatic
Care and treatment
Diagnosis
Disease management
Echocardiography
Echocardiography, Transesophageal
Elderly
Follow-Up Studies
growth rate
Health aspects
Heart
Heart Atria
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - therapy
Humans
Male
management
Myxoma
Myxoma - diagnostic imaging
Myxoma - therapy
Older people
Tumors
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Description
Summary:The case described is an 89-year-old male patient with a left atrial myxoma, first visualised in 1997, who was a poor operative candidate owing to severe chronic obstructive pulmonary disease (COPD). The tumour had a cross-sectional growth rate of only 0.2 cm2 per year and was asymptomatic over 79 months follow-up: the longest reported follow-up period of a non-calcified myxoma. The report highlights the variety of growth rates described for myxoma in the literature and raises the possibility of a conservative management approach, particularly in high-risk operative candidates.
ISSN:0002-0729
1468-2834
DOI:10.1093/ageing/afi010