Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0034065 (pulmonary embolism)
 14,979 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

An 80-year-old woman presented with general malaise and dyspnoea that has persisted for 2 months. Physical examination, laboratory tests, chest X-ray and ECG were normal, but tachycardia was not. A CT scan of the thorax performed due to suspicion of pulmonary embolism revealed a lesion in the right atrium and no other abnormalities. Echocardiography confirmed the presence of the tumour and also showed pulmonary hypertension. Cardiac myxoma was considered and the tumour was surgically removed. The patient recovered completely but the dyspnoea persisted. Cardiac myxoma is often difficult to confirm. Clinical presentation of a myxoma is determined by its location, size and mobility. Symptoms are a result of mechanical obstruction, embolism or constitutional effects. Treatment consists of surgical removal of the myxoma due to the associated risk of embolism and sudden death.
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PMID:[An 80-year-old woman with dyspnoea caused by cardiac myxoma]. 1744 71

Cardiac myxoma is a benign primary cardiac tumour which can present with nonspecific symptoms of right heart failure, syncope, exertional dyspnea, and pulmonary embolism. We describe a case of a right ventricular myxoma complicated with bilateral pulmonary embolism, with an incidental right coronary artery fistula but otherwise normal coronary anatomy on coronary angiogram. This case report emphasizes the importance of performing a transesophageal echo in the setting of pulmonary embolism to search for the origin of thrombus/tumour, and performing a comprehensive assessment is also necessary to rule out coronary artery disease, coronary artery fistula that may also represent a tumour blush.
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PMID:Rare Association between Giant Right Ventricular Myxoma and Right Coronary Artery Tumour Blush with Complicating Pulmonary Tumour Embolism. 3114 63