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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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400031R.pdf |
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| author | Romanović Radoslav Ratković Nenad Davičević Žaklina Ilić Radoje |
| author_facet | Romanović Radoslav Ratković Nenad Davičević Žaklina Ilić Radoje |
| author_sort | Romanović Radoslav |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-124dff4c5e1545d897d33713509ea2d1 |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-124dff4c5e1545d897d33713509ea2d12025-08-20T03:54:20ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502015-01-0172329129410.2298/VSP140212031R0042-84501400031RMassive right atrial myxoma with dyspnea at rest in an elderly patient: A case reportRomanović Radoslav0Ratković Nenad1Davičević Žaklina2Ilić Radoje3Clinic for Urgent Internal Medicine, Military Medical Academy, Belgrade + Faculty of Medicine of the Military Medical Academy, University of Defence, BelgardeClinic for Urgent Internal Medicine, Military Medical Academy, BelgradeClinic for Cardiology, Military Medical Academy, BelgradeFaculty of Medicine of the Military Medical Academy, University of Defence, Belgrade + Clinic for Cardiac and Thoracic Surgery, Military Medical Academy, BelgradeIntroduction. 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.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400031R.pdfmyxomaheart atriadyspneaageddiagnosiscardiac surgical procedurestreatment outcome |
| spellingShingle | Romanović Radoslav Ratković Nenad Davičević Žaklina Ilić Radoje Massive right atrial myxoma with dyspnea at rest in an elderly patient: A case report Vojnosanitetski Pregled myxoma heart atria dyspnea aged diagnosis cardiac surgical procedures treatment outcome |
| title | Massive right atrial myxoma with dyspnea at rest in an elderly patient: A case report |
| title_full | Massive right atrial myxoma with dyspnea at rest in an elderly patient: A case report |
| title_fullStr | Massive right atrial myxoma with dyspnea at rest in an elderly patient: A case report |
| title_full_unstemmed | Massive right atrial myxoma with dyspnea at rest in an elderly patient: A case report |
| title_short | Massive right atrial myxoma with dyspnea at rest in an elderly patient: A case report |
| title_sort | massive right atrial myxoma with dyspnea at rest in an elderly patient a case report |
| topic | myxoma heart atria dyspnea aged diagnosis cardiac surgical procedures treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400031R.pdf |
| work_keys_str_mv | AT romanovicradoslav massiverightatrialmyxomawithdyspneaatrestinanelderlypatientacasereport AT ratkovicnenad massiverightatrialmyxomawithdyspneaatrestinanelderlypatientacasereport AT daviceviczaklina massiverightatrialmyxomawithdyspneaatrestinanelderlypatientacasereport AT ilicradoje massiverightatrialmyxomawithdyspneaatrestinanelderlypatientacasereport |