The Heart of the Matter The American Journal of Medicine

Slides:



Advertisements
Similar presentations
An Unusual Electrocardiogram in a Heart Transplant Recipient Hamish I. MacLachlan, BSc, MBBS, Jonathan R. Dalzell, MD, MRCP The American Journal of Medicine.
Advertisements

Pierre Charbel Atallah, MD, Pierre Atallah, MD, Vikram Kashyap, MD 
The Epidemic of the 20th Century: Coronary Heart Disease
The Autopsy of Chicken Nuggets Reads “Chicken Little”
Restoring Balance: Paraneoplastic Cerebellar Degeneration
Crowned Dens Syndrome The American Journal of Medicine
Chest Pain in a 39-Year-Old Man: What Could Be the Underlying Cause?
A Pain in the Neck: Thyroid Abscess
Not Your Typical Renal Cyst
David R. Curran, MD, Terence K
Refractory neurosarcoidosis: A dramatic response to infliximab
Paul F. Hwang, MD, Dana C. Rice, MD, Sunil V
An Iatrogenic Metastasis
Fainting with HIV The American Journal of Medicine
Gastric Diverticulum: A Rare Cause of Refractory Epigastric Pain
Bilateral Adrenal Adenomas and Persistent Leukocytosis: A Unique Case of Cushing’s Syndrome  Nilay Desai, MD, Anoop Kapoor, MD, Binod K. Singh, MD, Jingxuan.
An Uncommon Cause of Obstructive Jaundice: An Infrequent Neoplasm
Urinary Ascites and Renal Failure from Unrecognized Bladder Rupture
Negative Biopsies, Deadly Disease: Metastatic Angiosarcoma
Sarcoma of the Chest Wall: A Rare Tumor
A Rarity in a Common Disease: Thyroid Paraganglioma
The Epidemic of the 20th Century: Coronary Heart Disease
Tumor Melt: Primary Effusion Lymphoma of the Heart
Getting the Whole Picture: Lymphangitic Carcinomatosis
Baffling Tachycardia The American Journal of Medicine
A paraganglioma parasitizing the left circumflex coronary artery
Height Loss and Generalized Pain in a 35-year-old Man
Symptomatic, Obstructive Cardiac Metastasis Can Respond to Chemotherapy  Matthew Cove, MD, Ruth Johnston, MD, Richard Cowan, MD, Philip Haji-Michael, MD 
Ashok K. Malani, MD, MS, Brian Olofsson, MD, David Debono, MD 
Digging Deep: High Output Heart Failure in Renal Cell Carcinoma
An Uncommon Cause of Recurrent Venous Thromboembolism
An 18-year-old Female Patient with Malignant Hypertension Masked as Thrombotic Thrombocytopenia Purpura?  Joseph Y. Lee, DO, Barbara Kiersz, BS, Thomas.
Atypical Cause of Axillary Pain
Transient Collateral Circulation during Coronary Vasospasm
Scrotal Swelling and Sarcoidosis
Gout in African Americans
Disseminated Mycobacterial Infection and Scabies Infestation
The Hyperlipidemia Effect: Pseudohyponatremia in Pancreatic Cancer
Diabetic Muscle Infarction: Case Report of a Rare Complication
A Blast from the Past The American Journal of Medicine
Lump in Scrotum and Abnormal Chest X-Ray: What Is the Link?
Syphilitic Angina The American Journal of Medicine
A Diagnostic Dilemma in a Patient with Polyarthritis
Gastrointestinal Bleeding: One Complaint, Two Culprits
Solitary Lung Masses Due to Occult Aspiration
The Autopsy of Chicken Nuggets Reads “Chicken Little”
Fusobacterium nucleatum Bacteremia Presenting with Portal Vein Thrombosis: An Abdominal Lemierre Syndrome?  Joseph A. Moore, MD, Siayareh Rambally, MD 
Pulmonary Langerhans' Cell Histiocytosis
Diabetic Mastopathy Masquerading as Breast Cancer
Benjamin R. Plaisance, MD, MPH, Michael A. Winkler, MD, Anil K
Vanessa Rodriguez, MD, Rita L. Romaguera, MD, Bettina Heidecker, MD 
Axillary Mass and Hypercalcemia: The Value of a Physical Examination
Purnema Madahar, MD, Cristina M. Gonzalez, MD, MEd 
Yin Ge, MD, Shiying Liu, MD, Sheldon M. Singh, MD 
Eagle's Syndrome The American Journal of Medicine
Ajay Major, MD, MBA, Mel Anderson, MD  The American Journal of Medicine 
Straight to the Heart: Pulmonary Vein Leiomyosarcoma
Cardiac myxoma: Simplifying a “complex” case
Unexpected Etiology of Atypical Chest Pain
Heart Failure, Aneurysms and Telangiectases, Oh My!
Pheochromocytoma Presenting as Fever of Unknown Origin
Waxing and Waning Lymphadenopathy
Parapharyngeal Tumor The American Journal of Medicine
Transmitted Pulsations from a Mediastinal Abscess
A Twisted Tale: Chronic Abdominal Pain Caused by Gastric Volvulus
Provoked Dizziness from Bow Hunter's Syndrome
Toward a More Responsible News Media
Double Trouble: The Diagnostic Dilemma of Diffuse Alveolar Hemorrhage
Into Thin Air: Shrinking Lung Syndrome
Drug-induced Dilemma: Angiokeratomas and Decreased Renal Function
Presentation transcript:

The Heart of the Matter The American Journal of Medicine Evan L. Hardegree, MD, Sandeep M. Patel, MD, Joseph J. Maleszewski, MD, Rick A. Nishimura, MD, Diana S. Dean, MD  The American Journal of Medicine  Volume 125, Issue 9, Pages 873-875 (September 2012) DOI: 10.1016/j.amjmed.2012.05.007 Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 1 Cardiac computed tomography angiogram demonstrating a 10.6×8.5×9.5-cm hypervascular tumor arising from the right atrioventricular groove (arrow) and causing a 2.3-cm aneurysmal dilatation of the proximal right coronary artery (*). The American Journal of Medicine 2012 125, 873-875DOI: (10.1016/j.amjmed.2012.05.007) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 2 Gross image of the cardiac mass demonstrating a well-circumscribed, tan tumor with prominent vascularity. The American Journal of Medicine 2012 125, 873-875DOI: (10.1016/j.amjmed.2012.05.007) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 3 Photomicrographs of tissue sections of the cardiac mass showing nests of neoplastic cells. (A) Hematoxylin and eosin stain (×200). (B) The sections exhibited strong reactivity with synaptophysin (×200). The American Journal of Medicine 2012 125, 873-875DOI: (10.1016/j.amjmed.2012.05.007) Copyright © 2012 Elsevier Inc. Terms and Conditions