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SAGE Open Med Case Rep ; 8: 2050313X20933484, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32685152


Cardiac myxomas are the most frequently encountered tumors of the heart. However, they are unusual to be newly diagnosed in the geriatric population. Myxomas are among the great mimickers, with a myriad of clinical presentations related to heart failure, embolic events, and constitutional symptoms. We describe a rare case of a giant atrial myxoma in a nonagenarian presenting with heart failure, which was medically managed.

SAGE Open Med Case Rep ; 8: 2050313X20927596, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32551115


Thymic carcinoma typically exhibits more clinically aggressive behavior and portends a worse prognosis as compared to thymoma. Venous thromboembolism is a significant cause of morbidity and mortality in oncologic patients. Traditionally, the standard-of-care management of cancer-associated venous thromboembolism has been therapeutic anticoagulation with low molecular weight heparins; however, with the advent of direct oral anticoagulants, there is an ongoing paradigm shift to transition to these novel agents in an attempt to attenuate cancer-associated venous thromboembolism events. We describe an exceedingly rare case of metastatic thymic carcinoma-associated right atrial thrombus with high-risk embolic features, which subsequently underwent near-complete dissolution with rivaroxaban after 3 months.

J Investig Med High Impact Case Rep ; 7: 2324709619874624, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31509019


Pregnancy-associated spontaneous coronary artery dissection (PASCAD) accounts for less than 5% of spontaneous coronary artery dissection cases and is comparatively more fulminant or clinically aggressive. Several factors associated with PASCAD include black ethnicity, multiparity, hypertension, advanced maternal age, and age at first childbirth. This atypical case highlights a preeclamptic patient presenting with an ST-segment elevation myocardial infarction in which multivessel dissection of both the left anterior descending and right coronary arteries were deemed co-culprit lesions for the index event.

Anomalías de los Vasos Coronarios/etiología , Preeclampsia/diagnóstico , Enfermedades Vasculares/congénito , Adulto , Cineangiografía , Anomalías de los Vasos Coronarios/diagnóstico , Anomalías de los Vasos Coronarios/diagnóstico por imagen , Electrocardiografía , Femenino , Humanos , Masculino , Preeclampsia/patología , Embarazo , Infarto del Miocardio con Elevación del ST/complicaciones , Infarto del Miocardio con Elevación del ST/diagnóstico , Enfermedades Vasculares/diagnóstico , Enfermedades Vasculares/diagnóstico por imagen , Enfermedades Vasculares/etiología
Int Med Case Rep J ; 12: 179-183, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31354366


Cardiac myxomas are the most common benign tumors of the heart. We describe the rare phenomenon of myxomatous embolization, resulting in a non-ST-elevation myocardial infarction treated successfully with surgical excision. The routine early use of both transthoracic and transesophageal echocardiography is pivotal in selecting an optimal management strategy for these patients.