Right atrial benign schwannoma
https://doi.org/10.15825/1995-1191-2019-3-84-89
Abstract
Primary schwannoma of the heart is a rare disease. It arises from vagus nerve branches and plexus. Most schwannomas are benign tumors, but sometimes they can be primary malignant neoplasms. In the MedLine database, we found only 21 publications on benign and 13 publications on primary malignant cardiac schwannoma. Moreover, according to localization in the right atrium, only eight benign schwannoma observations are described. We report a 73-year-old woman who, with echocardiography and magnetic resonance imaging of the heart, revealed a right atrial tumor with sprouting of the right atrial free wall. The tumor was radically excised through cardiopulmonary bypass and pharmaco-cold cardioplegia. Pathohistological and immunohistochemical examination of the excised tumor showed that it is benign schwannoma.
About the Authors
A. S. Ivanov
V.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
M. K. Lugovskiy
V.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian Federation
Russian Federation
Lugovskiy Maksim Konstantinovich. Address: 1, Shchukinskaya str., Moscow, 123182. Tel. (926) 590-62-05.
Russian Federation
Lugovskiy Maksim Konstantinovich. Address: 1, Shchukinskaya str., Moscow, 123182. Tel. (926) 590-62-05.
I. M. Iljinsky
V.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian Federation;
I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation (Sechenovsky University)
Russian Federation
Russian Federation
N. P. Mozheiko
V.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
N. N. Abramova
V.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
References
1. Skovronsky DM, Oberholtzer JC. Pathologic classification of peripheral nerve tumors. Neurosurg Clin N Am. 2004 Apr; 15 (2): 157–166. doi: 10.1016/j. nec.2004.02.005.
2. Nakamura K, Onitsuka T, Yano M, Yano Y. Surgical resection of right atrial neurilemoma extending to pulmonary vein. Eur J Cardiothoracic Surg. 2003; 24: 840– 842.
3. Gleason TH, Dillard DH, Gould VE. Cardiac neurilemoma. N Y State J Med. 1972; 72: 2435–2436.
4. Hwang SK, Jung SH. Schwannoma of the heart. Korean J Thorac Cardiovasc Surg. 2014 Apr; 47 (2): 141–144. doi: 10.5090/kjtcs.2014.47.2.141.
5. Early SA, McGuinness J, Galvin J, Kennedy M, Hurley J. Asymptomatic schwannoma of the heart. J Cardiothorac Surg. 2007 Jan 4; 2: 1. doi: 10.1186/1749-8090-2-1.
6. Stolf NA, Santos GG, Sobral ML, Haddad VL. Primary schwannoma of the right atrium: successful surgical resection. Clinics (Sao Paulo). 2006 Feb; 61 (1): 87–88. doi: /S1807-59322006000100016.
7. Koujanian S, Pawlowicz B, Landry D, Alexopoulou L, Nair V. Benign cardiac schwannoma: A case report. Human Pathology: Case Reports. 2017; 8 (24).
8. Yun PJ, Huang TW, Li YF, Chang H, Lee SC, Kuo YL. Symptomatic pericardial schwannoma treated with video-assisted thoracic surgery: a case report. J Thorac Dis. 2016 May; 8 (5): E349–352. doi: 10.21037/ jtd.2016.03.40.
9. D’Amato N, Correale M, Ireva R, Di Biase M. A rare cause of acute heart failure: malignant schwannoma of the pericardium. Congest Heart Fail. 2010 Mar-Apr; 16 (2): 82–84. doi: 10.1111/j.1751-7133.2009.00124.
Review
For citations:
Ivanov A.S., Lugovskiy M.K., Iljinsky I.M., Mozheiko N.P., Abramova N.N. Right atrial benign schwannoma. Russian Journal of Transplantology and Artificial Organs. 2019;21(3):84-89. https://doi.org/10.15825/1995-1191-2019-3-84-89
Views:
589
Email this article 