Massive right atrial myxoma with dyspnea at rest in an elderly patient: A case report
Introduction. Primary heart tumors are extremely rare and myxoma is the most common type of these tumors. Although intraatrial presentation is a predilection place, right atrial localization is atypical. The symptom triad is characteristic in the clinical presentation of the tumor: embolic...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400031R.pdf |
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| Summary: | Introduction. Primary heart tumors are extremely rare and myxoma is the most
common type of these tumors. Although intraatrial presentation is a
predilection place, right atrial localization is atypical. The symptom triad
is characteristic in the clinical presentation of the tumor: embolic
complication, intracardiac blood flow obstruction and systemic manifestations
like elevated erythrocyte sedimentation rate, fever, anemia, body weight
loss. Case report. We presented an elderly female patient with massive myxoma
in the right atrium, 77 × 44 mm in diameter, which filled the entire right
atrium and spread into the right ventricle, causing the tricuspid valve
obstruction and dyspnea. It was visualized by transthoracic echocardiography
and small and insignificant pericardial effusion was also seen. After
surgical removal of the tumor, the patient remained without any symptoms and
pericardial effusion. Conclusion. Tumors of the right heart have to be
considered in the differential diagnosis of unexplained dyspnea in elderly
patients. Transthoracic echocardiography is certainly necessary and mostly
available diagnostic tool that can be of great help in diagnosing heart tumor
as well as planning cardiac surgery, as it provides in most cases excellent
visualization of the tumor and its relationship with other parts of the
heart. |
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| ISSN: | 0042-8450 |