Huge mass in right side of the heart: A rare case report (original) (raw)
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Benign tumors of the heart: Myxoma of the right atrium - a case report
Vojnosanitetski pregled, 2016
Introduction. Myxoma is the most common primary benign heart tumor. The most frequent location is the left atrium, the chamber of the heart that receives oxygen- rich blood from the lungs. Myxomas usually develop in women, typically between the ages of 40 and 60. Symptoms may occur at any time, but most often they are asymptomatic or oligosymptomatic for a long period of time. Symptoms usually go along with body position, and are related to compression of the heart cavities, embolization and the appearance of general symptoms. The diagnosis of benign tumors of the heart is based on anamnesis, clinical features and findings of the tumor masses by use of non-invasive and invasive imaging methods. Extensive surgical resection of the myxoma is curative with minimal mortality. Long term clinical and echocardiographic follow-up is mandatory. Case report. We reported a case of a 62-year-old male, presented with 15 days of intermittent shortness of breath, dizziness and feeling of heart pal...
Giant Right Atrial Myxoma with Symptoms of Right Heart Failure
Medical Archives, 2021
Background: Cardiac myxoma is the most common benign tumor of the heart. It presents with a variety of clinical signs and symptomatology making diagnosis frequently quite a challenge. Objective: The aim of this article is to present a case report of giant right atrial myxoma with symptoms of right heart failure in adult patient. Case report: We present a case of large right atrial myxoma which is an uncommon location for this type of heart neoplasms, discovered incidentally in a female patient 77-year-old who came to our polyclinic for cardiological exam with hypertension last 11 years and obesity. Results and Discussion: Various clinical signs and symptoms produced by cardiac myxomas have been reported in the literature. Depending on location and morphology, cardiac tumors can produce four types of clinical manifestations: systemic-constitutional, embolic, cardiac, and secondary metastatic manifestation. Echocardiography as non-invasive imaging method and Transesophageal echocardio...
Case Reports, 2018
Cardiac myxomas are the most common type of primary cardiac tumour. the most common location of cardiac myxoma is left atrium. right atrial myxomas are very rare and usually asymptomatic or sometimes present with dyspnoea. right atrial myxoma presenting as a rightsided heart failure is very rare. We report a very rare case of a 52-year-old man of right atrial myxoma presented unsually as right-sided heart failure.
Rare Right Ventricular Obstructing Myxoma: An Incidental Finding for a Common Symptom
EMJ Interventional Cardiology, 2021
Background: Palpitations are a common clinical manifestation within the general population and are often associated with conduction abnormalities within the heart. Structural causes account for only 3% of palpitations. As such, they are often investigated with cardiac event/Holter monitoring. Presented here is a case of palpitations secondary to intracardiac mass. Case summary: A 58-year-old female patient presented with palpitations. The electrocardiogram was unremarkable. Transthoracic echocardiography revealed a large, mobile mass visualised in the right ventricular outflow tract. Further investigations, including cardiac CT and cardiac MRI, confirmed a right ventricular myxoma, which was successfully surgically excised. There has been no evidence of recurrence or long-term morbidity. Discussion: Myxomas are extremely rare and most commonly present with signs of heart failure, thromboembolic events, or constitutional symptoms. Palpitations are a usual presentation of cardiac mass...
Russian Electronic Journal of Radiology, 2020
ardiac myxomas are the most common benign tumours in adults, with an incidence of 0.5 cases per million people per year, 75% of myxomas occur in females, and 15 to 20% located in the right atrium. Because their clinical presentation is variable, they are known as "great simulators" of the cardiac nosology. The primary clinical manifestations reported include asthenia, weight loss, fever, palpitations, dyspnea, syncope, and a heart murmur. They can produce lethal complications such as the formation of emboli, which can migrate and cause pulmonary thromboembolism, deep vein thrombosis and arrhythmias. We report a case of a male patient admitted in the emergency room with acute abdominal syndrome in whom the diagnosis of right ventricular myxoma had been not identified until his symptoms progressed to cardiac failure; we discussed the clinical and imaging (MSCT, MRI, and transthoracic ultrasound) findings of this entity with a brief review of the literature.
The Heart Surgery Forum, 2014
Myxomas comprise 50% of all benign cardiac tumors in adults, with the right atrium as their second most frequent site of origin. Surgical resection is the only effective therapeutic option for patients with these tumors. The association between right atrial myxomas and severe left ventricular systolic dysfunction is extremely rare and makes treatment even more challenging. This was the case for our patient, a 47-year-old male with a right atrial mass and a severely impaired left ventricular function, with a 20% ejection fraction. Global enlargement of the heart was also noted, with moderate right ventricular dysfunction. The tumor was successfully excised using the on-pump beating heart technique, with an immediate postoperative improvement of the left ventricular ejection fraction to 35%. The technique proved useful, with no increased risk to the patient.
Left ventricular myxoma producing cardiac failure
Heart Surgery Forum, 2013
Introduction: Seventy-five percent of primary cardiac tumors are benign, and most are myxomas. Seventy-five percent of myxomas originate from the left atrium, and 2.5% arise from the left ventricle. Heart failure is a rare complication of myxoma. Case: A 54-year-old male patient with chronic obstructive pulmonary disease was admitted to the pulmonology department with a diagnosis of pneumonia and congestive heart failure during hospitalization. An echocardiography evaluation revealed a mobile mass (3.3 cm × 1.2 cm) in the left ventricle. The measured ejection fraction was 22%. Transthoracic and transesophageal echocardiography and magnetic resonance imaging examinations confirmed the presence of a myxoma in the left ventricle. The myxoma was a hanging mass with a stalk on the interventricular septum near the anterior mitral valve annulus. We visualized the gelatinous fragile mass on the septum; we then extracted the myxoma via a transaortic approach with the patient on cardiopulmonary bypass. The patient was discharged 10 days after surgery. Discussion: Myxoma is treated by early surgical resection because of the potential for serious complications. Left ventricular myxomas have been reported to lead to a silent heart failure. This case is important because of its location and the patient's resultant heart failure.
Atypical size and location of a right atrial myxoma: a case report
Journal of Medical Case Reports, 2012
Introduction: Primary intracardiac tumors are rare and approximately 50% are myxomas. The majority of myxomas are located in the left atrium and have variable clinical presentation. We report a case of a large myxoma in the right atrium, which is an uncommon location for this type of tumor. Case presentation: A 45-year-old Caucasian woman with a history of palpitation had dyspnea on great exertion and discrete weight loss. A cardiac evaluation showed splitting of S1. An echocardiogram showed a large mass in the right atrium, suggesting myxoma; chest computed tomography confirmed the diagnostic hypothesis. Our patient underwent surgical treatment with excision of a 10 cm multilobulated mass. She presented with supraventricular tachycardia during the operation. She was placed in the intensive care unit and her condition improved after the use of amiodarone. The diagnosis of myxoma was confirmed by histopathological study. Conclusions: In this case report, we emphasize the rarity of large myxomas in the right atrium and the difficulty of differential diagnosis given their dimension and location.
The Journal of Pediatrics, 2015
A 31 year-old woman complaining of mild dyspnea and fatique was admitted to our clinic.A two-dimensional echocardiogram revealed a 2x2 cm mobile mass in the left ventricle. A 2 x 3 cm mobile,pedinculated,gelatinous mass originating from the left ventricular lateral wall was removed by left ventriculotomy and histological features of the tumor indicated a myxoma.
Atypical size and location of a right atrial myxoma
Journal of medical …, 2012
Introduction: Primary intracardiac tumors are rare and approximately 50% are myxomas. The majority of myxomas are located in the left atrium and have variable clinical presentation. We report a case of a large myxoma in the right atrium, which is an uncommon location for this type of tumor. Case presentation: A 45-year-old Caucasian woman with a history of palpitation had dyspnea on great exertion and discrete weight loss. A cardiac evaluation showed splitting of S1. An echocardiogram showed a large mass in the right atrium, suggesting myxoma; chest computed tomography confirmed the diagnostic hypothesis. Our patient underwent surgical treatment with excision of a 10 cm multilobulated mass. She presented with supraventricular tachycardia during the operation. She was placed in the intensive care unit and her condition improved after the use of amiodarone. The diagnosis of myxoma was confirmed by histopathological study. Conclusions: In this case report, we emphasize the rarity of large myxomas in the right atrium and the difficulty of differential diagnosis given their dimension and location.