jsmsJournal of Siberian Medical SciencesJournal of Siberian Medical Sciences2542-1174Federal state budgetary educational institution of higher education "Novosibirsk state medical university" of Ministry of Health of the Russian Federation (FSBEI HE NSMU MOH Russia)jsms-464Research ArticleСтатьиLeiomyosarcoma of the right atriumShlyakhtinaN. V.natashavkz@mail.ruTsybinaT. G.noemail@neicon.ruBukhtijN. V.noemail@neicon.ruSpitsynaS. V.noemail@neicon.ruNovosibirsk Regional Clinical Cardiologic Dispensary; Novosibirsk State UniversityRussian FederationNovosibirsk Regional Clinical Cardiologic DispensaryRussian Federation201704062018021821Copyright © Shlyakhtina N.V., Tsybina T.G., Bukhtij N.V., Spitsyna S.V., 20182018Shlyakhtina N.V., Tsybina T.G., Bukhtij N.V., Spitsyna S.V.Shlyakhtina N.V., Tsybina T.G., Bukhtij N.V., Spitsyna S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://jsms.elpub.ru/jour/article/view/464

The principal method for early diagnostics of cardiac tumors is echocardiography. Transesophageal echocardiography allows to determine more accurately localization of the growth, structure and flexibility, and also the degree of obstruction of AVvalves. We demonstrate a clinical case of leiomyosarcoma of the right atrium, its clinical manifestations were cardiac insufficiency, cardiac arrhythmia and pericardial effusion. Difficulties in diagnostics were connected with nonspecific complaints due to tumor localization and infiltration with tumoral tissue into the cardiac structures. Our clinical case is of interest because of rarity of pathology, difficulty of intravital diagnostics of disease and interpretation of nonspecific clinical picture.

Cardiac tumorsLeiomyosarcomaEchocardiographyReferencesMcManus B. (2011). Primary tumors of the heart. In R.O. Bonow, D.L. Mann, D.P. Zipes, P. Libby (Eds). Braunwald's Heart Disease. 9th ed. Philadelphia: Elsevier Saunders. 1638-1650.McManus B. (2011). Primary tumors of the heart. In R.O. Bonow, D.L. Mann, D.P. Zipes, P. Libby (Eds). Braunwald's Heart Disease. 9th ed. Philadelphia: Elsevier Saunders. 1638-1650.Basso C., Valente V., Poletti A. et al. (1997). Surgical pathology of primary cardiac and pericardial tumors. Eur J Cardiothorac Surg., 12, 5, 730-737. Discussion 737-738.Basso C., Valente V., Poletti A. et al. (1997). Surgical pathology of primary cardiac and pericardial tumors. Eur J Cardiothorac Surg., 12, 5, 730-737. Discussion 737-738.Castillo J.G., Silvay G. (2010). Characterization and management of cardiac tumors. Senim Cardiothorac Vasc Anesth, 14, 1, 6-20.Castillo J.G., Silvay G. (2010). Characterization and management of cardiac tumors. Senim Cardiothorac Vasc Anesth, 14, 1, 6-20.Muthukumar L., Fuad Jan M., Taylor R. (2017). Biatrial highgrade leiomyosarcoma with nineyear postsurgical survival. Ann Thorac Surg., 103, 43-45.Muthukumar L., Fuad Jan M., Taylor R. (2017). Biatrial highgrade leiomyosarcoma with nineyear postsurgical survival. Ann Thorac Surg., 103, 43-45.Wang J.G., Cui L., Jiang T. et al. (2015). Primary cardiac leiomyosarcoma: an analysis of clinical characteristics and outcome patterns. Asian Cardiovasc Thorac Ann., 23, 623-630.Wang J.G., Cui L., Jiang T. et al. (2015). Primary cardiac leiomyosarcoma: an analysis of clinical characteristics and outcome patterns. Asian Cardiovasc Thorac Ann., 23, 623-630.Schroder S., Walker T., Greschniok A. (2001). Primary cardiac leiomyosarcoma originating from the pulmonary valve. Case report and review of the literature. J Cardiovasc Surg (Torino), 42, 1, 53-56.Schroder S., Walker T., Greschniok A. (2001). Primary cardiac leiomyosarcoma originating from the pulmonary valve. Case report and review of the literature. J Cardiovasc Surg (Torino), 42, 1, 53-56.Hoffmeier A., Sindermann J.R. et al. (2014). Cardiac tumors - diagnosis and surgical treatment. Dtsch Arztebl Int., 111, 12, 205-211.Hoffmeier A., Sindermann J.R. et al. (2014). Cardiac tumors - diagnosis and surgical treatment. Dtsch Arztebl Int., 111, 12, 205-211.Huang D.S., Wang Y.M., Chen Y. (2014). Leiomyosarcoma with coronary fistulae and ventricular septal perforation: a case study. Journal of Geriatric Cardiology, 11, 354-356.Huang D.S., Wang Y.M., Chen Y. (2014). Leiomyosarcoma with coronary fistulae and ventricular septal perforation: a case study. Journal of Geriatric Cardiology, 11, 354-356.Tam W.C., Cheng H.S., Chung C.C. et al. (2015). Right ventricle mass induced coronary artery steal phenomenon: a rare clinical manifestation on one leiomyosarcoma patient. Acta Cardiol Sin., 31, 5, 464-467.Tam W.C., Cheng H.S., Chung C.C. et al. (2015). Right ventricle mass induced coronary artery steal phenomenon: a rare clinical manifestation on one leiomyosarcoma patient. Acta Cardiol Sin., 31, 5, 464-467.Kim J.D., Kim J.S., Hwang T.S. et al. (2014). Surgical management of recurrent leiomyosarcoma in heart. Korean J Thorac Cardiovasc Surg., 47, 1, 35-38.Kim J.D., Kim J.S., Hwang T.S. et al. (2014). Surgical management of recurrent leiomyosarcoma in heart. Korean J Thorac Cardiovasc Surg., 47, 1, 35-38.Malyshev M., Safuanov A., Gladyshev I. et al. (2006). Primary left atrial leiomyosarcoma: literature review and lessons of a case. Asian Cardiovasc Thorac Ann., 14, 435-440.Malyshev M., Safuanov A., Gladyshev I. et al. (2006). Primary left atrial leiomyosarcoma: literature review and lessons of a case. Asian Cardiovasc Thorac Ann., 14, 435-440.Mayer F., Aebert H., Rudert M. et al. (2007). Primary malignant sarcomas of the heart and great vessels in adult patients - a singlecenter experience. Oncologist, 12, 9, 1134-1142.Mayer F., Aebert H., Rudert M. et al. (2007). Primary malignant sarcomas of the heart and great vessels in adult patients - a singlecenter experience. Oncologist, 12, 9, 1134-1142.

The authors declare that there are no conflicts of interest present.