<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" "JATS-journalpublishing1.dtd">
<article article-type="abstract" dtd-version="1.0" xml:lang="en" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">CC</journal-id>
<journal-id journal-id-type="nlm-ta">Cardiol Croat</journal-id>
<journal-title-group>
<journal-title>Cardiologia Croatica</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Cardiol. Croat.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">1848-543X</issn>
<issn pub-type="epub">1848-5448</issn>
<publisher><publisher-name>Croatian Cardiac Society</publisher-name></publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">CC_13(11-12)_399</article-id>
<article-id pub-id-type="doi">10.15836/ccar2018.399</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Extended Abstract</subject></subj-group>
</article-categories>
<title-group>
<article-title>Autoimmune disease and left atrium tumor &#x2013; outcome and possible connection</article-title>
<trans-title-group xml:lang="HR">
<trans-title>Autoimune bolesti i tumorska masa lijevog atrija &#x2013; ishod i mogu&#x0107;e poveznice</trans-title>
</trans-title-group>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9724-0785</contrib-id><name><surname>Baraban</surname><given-names>Vedrana</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9010-7503</contrib-id><name><surname>Kova&#x010D;evi&#x0107; Stranski</surname><given-names>Kristina</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2295-3913</contrib-id><name><surname>Duli&#x0107;</surname><given-names>Grgur</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0212-5969</contrib-id><name><surname>Lek&#x0161;an</surname><given-names>Igor</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7271-4449</contrib-id><name><surname>Su&#x0161;i&#x0107;</surname><given-names>Livija</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib>
<aff id="aff1"><label>1</label>Klini&#x010D;ki bolni&#x010D;ki centar Osijek, Osijek, Hrvatska</aff>
<aff id="aff2"><label>2</label>Sveu&#x010D;ili&#x0161;te Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet Osijek, Osijek Hrvatska</aff>
<aff id="aff3"><label>3</label>Dom zdravlja Osijek, Osijek, Hrvatska</aff>
<aff id="aff4"><label>1</label><institution>University Hospital Centre Osijek</institution>, <addr-line>Osijek</addr-line>, <country>Croatia</country></aff>
<aff id="aff5"><label>2</label>Josip Juraj Strossmayer University of Osijek, <institution>Faculty of Medicine in Osijek</institution>, <addr-line>Osijek</addr-line>, <country>Croatia</country></aff>
<aff id="aff6"><label>3</label><institution>Health Centre Osijek</institution>, <addr-line>Osijek</addr-line>, <country>Croatia</country></aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><label>*</label>ADDRESS FOR CORRESPONDENCE: Vedrana Baraban, Klini&#x010D;ki bolni&#x010D;ki centar Osijek, J.Huttlera 4, HR-31000 Osijek, Croatia. / Phone: +385-91-200-2171 / E-mail: <email xlink:href="vbaraban@gmail.com">vbaraban@gmail.com</email></corresp></author-notes>
<pub-date pub-type="epub-ppub"><month>11</month><year>2018</year></pub-date>
<volume>13</volume>
<issue>11-12</issue>
<fpage>399</fpage>
<lpage>399</lpage>
<history>
<date date-type="received"><day>25</day><month>10</month><year>2018</year></date><date><day>05</day><month>11</month><year>2018</year></date>
</history>
<permissions>
<copyright-year>2018</copyright-year>
<copyright-holder>Croatian Cardiac Society</copyright-holder>
</permissions>
<kwd-group kwd-group-type="translator" xml:lang="HR"><kwd>KLJU&#x010C;NE RIJE&#x010C;I: tumor srca</kwd><kwd>ultrazvuk srca</kwd><kwd>autoimune bolesti</kwd></kwd-group>
<kwd-group kwd-group-type="author"><title>KEYWORDS: </title><kwd>cardiac tumors</kwd><kwd>echocardiography</kwd><kwd>autoimmune disease</kwd></kwd-group>
</article-meta>
</front>
<body>
<p><bold>Introduction</bold>: According to the literature (<xref ref-type="bibr" rid="r1"><italic>1</italic></xref>-<xref ref-type="bibr" rid="r3"><italic>3</italic></xref>), systemic autoimmune diseases are associated with an increased risk of developing malignant diseases. This risk arises from the immune effects of autoimmune combined with drug treatment for autoimmune disease.</p>
<p><bold>Case report</bold>: This case shows a 51-year-old female patient who presented with dyspnea and exercise intolerance in last two weeks, with medical history of long-term treated hypertension and autoimmune diseases: thyreopathy and overlap syndrome. During cardiological assessment transthoracic echocardiography showed large tumor formation that filled left atrium and protruded to the left ventricle in diastole, which was confirmed by transesophageal echocardiography and thoracic CT. After complete cardiological treatment, the patient was successfully operated at the Department of Cardiac Surgery. PHD report confirmed diagnosis of myxoma. It was the most important since the most common intracardiac formations are primary (benign or malignant) tumors, metastatic tumors, thrombus or vegetation. Although there is no clear connection between autoimmune diseases and benign tumors, it is interesting to see significant reduction of immune markers in laboratory labs (especially CCP) following surgery.</p>
</body>
<back>
<ref-list>
<title>LITERATURE</title>
<ref id="r1"><label>1</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Auger</surname><given-names>D</given-names></name><name><surname>Pressacco</surname><given-names>J</given-names></name><name><surname>Marcotte</surname><given-names>F</given-names></name><name><surname>Tremblay</surname><given-names>A</given-names></name><name><surname>Dore</surname><given-names>A</given-names></name><name><surname>Ducharme</surname><given-names>A</given-names></name></person-group>. <article-title>Cardiac masses: an integrative approach using echocardiography other imaging modalities.</article-title> <source>Heart</source>. <year>2011</year> Jul;<volume>97</volume>(<issue>13</issue>):<fpage>1101</fpage>&#x2013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1136/hrt.2010.196006</pub-id><pub-id pub-id-type="pmid">21642661</pub-id></mixed-citation></ref>
<ref id="r2"><label>2</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vincelj</surname><given-names>J</given-names></name><name><surname>Sutlic</surname><given-names>Z</given-names></name><name><surname>Biocina</surname><given-names>B</given-names></name><name><surname>Niki&#x0107;</surname><given-names>N</given-names></name><name><surname>Lajtman</surname><given-names>Z</given-names></name></person-group>. <article-title>Diagnostic accuracy of transesophageal echocardiography for detection of atrial masses.</article-title> <source>Acta Med Croatica</source>. <year>2001</year>;<volume>55</volume>(<issue>1</issue>):<fpage>47</fpage>&#x2013;<lpage>51</lpage>.<pub-id pub-id-type="pmid">11428284</pub-id></mixed-citation></ref>
<ref id="r3"><label>3</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Balkwill</surname><given-names>F</given-names></name><name><surname>Mantovani</surname><given-names>A</given-names></name></person-group>. <article-title>Inflammation and cancer: back to Wirchow?</article-title> <source>Lancet</source>. <year>2001</year> Feb 17;<volume>357</volume>(<issue>9255</issue>):<fpage>539</fpage>&#x2013;<lpage>45</lpage>. <pub-id pub-id-type="doi">10.1016/S0140-6736(00)04046-0</pub-id><pub-id pub-id-type="pmid">11229684</pub-id></mixed-citation></ref>
</ref-list>
</back>
</article>
