In Response to: Unsolved Enigma of Atrial Myxoma with Biventricular Dysfunction
نویسندگان
چکیده
Thanks to Raut et al.[1] for appreciating our efforts in managing the case of biatrial myxomas. A brief discussion is warranted here on the types, size of cardiac myxomas, interleukin 6 (IL-6) levels, left ventricle (LV) dysfunction, and their relation. IL-6 is a pleiotropic cytokine with a variety of biologic activities, including differentiation of B cell, thymocytes, and T cells; activation of macrophages; and stimulation of hepatocyte to produce acute-phase proteins such as C-reactive protein.[2],[3] It is also said to have paracrine, endocrine, and autocrine growth functions.[3].
منابع مشابه
Unsolved Enigma of Atrial Myxoma with Biventricular Dysfunction
Coexisting coronary atherosclerosis and coronary embolization of tumor fragments causing myocardial ischemia are well‐known reasons for ventricular dysfunction in patients with left atrial myxoma. The incidence of coronary artery disease in patients with myxoma is between 20.3% and 36.6%.[2,3] Other proposed explanations for the left ventricular dysfunction in such patients were hypercoagulabil...
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