Figures index


Two Sub-obstructive Left Atrium Myxomasinduce Cardiac Failure after Breast Cancer Treatment

Nicolas LEDUC, Vincent MOLINIE, Vincent VINH-HUNG

American Journal of Medical Case Reports. 2015, 3(9), 288-290 doi:10.12691/ajmcr-3-9-7
  • Figure 1. Pre-surgery thoracic contrast tomography showing an left intra-atrial defect revealing two masses of tissular density. Axial (A) slice and oblique sagittal (B) and coronal (C) reconstructions
  • Figure 2. Pre-surgery 3D reconstruction of trans-oesophageal echocardiography. A mass of maximal dimensions 3,8mmx20mmx20mm was found pending to the cranial left atrium wall. The free end did not obstruct the mitral valvula
  • Figure 3. Pre-surgery heart MRI (contrast T2 axial slice).
  • Figure 4. Microscopy: histological cuts show typical proliferation of cells including large eosinophilic cytoplasm , round nuclei. Tissue is organised in small cords, with a myxoid, hypocellular background. There is no sign of malignancy: no pleiomorphism nor atypical mitoses
  • Figure 5. Pre-radiotherapy planning non -contrast tomography showing dose localisation after vector fusion. Pinnacle system (Philips Group) and Inkscape. Internal mammary lymph nodes boost irradiates left atrium with a dose higher than 10Gy