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Biomedical subjects

J E Centeno

Publications and source records attributed to J E Centeno.

3 recordsLinked to original sources

Multiple recurrence of a "sporadic" (non-familial) cardiac myxoma.

This report describes a myxoma with three recurrences, two of them synchronous neoplasms in both atrial chambers, without evidence of familial history or features of the "myxoma complex" (lentiginosis, other non-cardiac myxomas and endocrine overactivity). The patient underwent complete resection of the myxoma with their surrounding tissue 3 times between 1983 and 1992. At the time of writing no other myxoma has been diagnosed in this patient.

Echocardiography↗

Giant left atrial myxoma: case report.

This report describes the case of a 40 year old woman with a giant left atrial myxoma. Only a thin path of 9 mm diameter allowed blood flow through the left atrial chamber to the left ventricle. Despite this obstruction, the patient developed only minimal symptoms. Echocardiography, especially transoesophageal mode is the diagnostic procedure of choice to detect these tumours. The giant mass was successfully removed and the patient is doing well two years after surgery.

Adult↗

[Left atrial thrombus. Its evolution with oral anticoagulation].

UNLABELLED: Left ventricular thrombi were found in 25 patients by two-dimensional echocardiography. All patients were in atrial fibrillation, 16 had mitral or mitroaortic valve diseases and nine mitral or mitroaortic bioprosthetic valves. Nine patients (36%) had history of arterial embolism. At diagnostic time, oral anticoagulation with coumadin was instaured in all the patients. Periodic clinic and echocardiography follow-up was performed. Left atrial thrombi either disappeared (18 patients [72%]) or reduced their size (one patient). Six patients with mitral stenosis were considered as candidates to percutaneous mitral valvuloplasty, which was performed in 4 patients whose thrombi disappeared with anticoagulation therapy in 6 months. During the follow-up one patient had cerebral embolism without sequelae. CONCLUSIONS: 1st. Patients with left atrial thrombi have high risk for arterial embolism. 2nd. Left atrial thrombi disappear in a high proportion after prescribing oral anticoagulation, which has some important therapeutic implications.

Administration, Oral↗