A rare and independent association of Right Atrial Myxoma with Immune Thrombocytopenic Purpura

Karthik Raman R.; Vijay Anand Palanisamy; Mithun Sundararaja Ravikumar; Jeswin Moses; Sivakumar Pandian; Rajan Sethuratnam

doi:10.18203/2320-6012.ijrms20192935

Authors

Karthik Raman R. Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamilnadu, India
Vijay Anand Palanisamy Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamilnadu, India
Mithun Sundararaja Ravikumar Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamilnadu, India
Jeswin Moses Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamilnadu, India
Sivakumar Pandian Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamilnadu, India
Rajan Sethuratnam Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamilnadu, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20192935

Keywords:

Immune, Thrombocytopenia, myxoma, right atrium

Abstract

Primary tumours of the heart are rare and the most common benign ones are myxomas. The clinical features are varied and include a myriad of presenting symptoms like embolic, constitutional, cardiac and also symptoms due to obstruction. Right atrial myxomas are very rarely seen when compared with left atrium. Such myxomas independently co existing with Immune Thrombocytopenic Purpura (ITP) is even rarer and we now present one such case in with right atrial myxoma was associated with ITP and was managed surgically. This case emphasises the fact that ITP can co-exist with myxoma and should be borne in mind when treating such patients surgically.

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References

Knepper LE, Biller J, Adams HP Jr, Bruno A. Neurologic manifestations of atrial myxoma. A 12-year experience and review. Stroke. 1988;19(11):1435-40.

Reynen K. Cardiac myxomas. N Engl J Med. 1995; 333(24):1610-7.

Markel ML, Waller BF, Armstrong WF. Cardiac myxoma: a review. Med. 1987;66(2):114-25.

Kucharski W, Kosmala W, Silber M, Poreba R. Thrombocytopenia and disseminated intravascular coagulation in a patient with left atrial myxoma: a case report. Kardiol Pol. 2003;59(11):421-4.

Tsuda H, Imazeki N, Fuse Y, Maruyama T, Kitani A, Mizuno K. Cardiac angiosarcoma with gastrointestinal bleeding, hypoxemia, thrombocytopenia and microangiopathic hemolytic anemia. Gan No Rinsho. 1986;32(9):1035-40.