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Atypical Symptom and Clinical Features of Right Atrial Myxoma: A Case Report

Received: 24 October 2021    Accepted: 15 January 2022    Published: 26 January 2022
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Abstract

Cardiac tumors are rare in medicine. Myxomas are the most common benign cardiac tumors. Most myxomas (>80%) are found in the left atrium. The site of 15-20% of cases of myxoma is the right atrium. The incidence of cardiac myxoma peaks at 40 to 60 years of age. Most atrial myxomas occur sporadically and are more common in middle-aged women. Patients with atrial myxoma usually have one of the symptoms in the following tetrad: embolic phenomena, intracardiac flow obstruction, arrhythmias and constitutional symptoms. The modality of choice for diagnosis of cardiac myxoma is an Echocardiography. Surgery should be considered promptly, because embolic complications or sudden death can be occured. This surgery is usually safe with low morbidity and mortality. Operative mortality is reported to be within 5%, and will be increased with myxoma occurring in the ventricle. Our case was a 47-year-old Iranian male with right atrial myxoma and a history of heart burn, he does not mention fever and chill, cough, chest pain or dyspnea. In CT Angiography of pulmonary artery showing pulmonary thromboembolism. After echocardiography and pulmonary CT angiography he underwent cardiac surgery and mass with adhesion to the right atrial wall near the IVC was excised. The patient was discharged after surgery with good general condition and stable vital signs.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 8, Issue 1)
DOI 10.11648/j.ijcts.20220801.12
Page(s) 8-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Myxoma, Pulmonary Thromboembolism, Cardiac Tumor

References
[1] Suraj Shrestha, Akash Raut, Amar Jayswal, Randhir Sagar Yadav & Chandra Mani Poudel. Atrial myxoma with cerebellar signs: a case report. Journal of Medical Case Reports. 2020; 14 (1): 29.
[2] Hashemzehi M, Ahmadi M, Esmaili Motlagh M. Unusual atrial myxoma with pulmonary infarction manifestation. J Birjand Univ Med Sci. 2009; 16 (1): 85-89.
[3] Ekinci EI, Donnan GA. Neurological manifestations of cardiac myxoma: a review of the literature and report of cases. Intern Med J. 2004; 34 (5): 243–9.
[4] Shi-Min Yuan, Song-Li Yan, and Ning Wu. Unusual aspects of cardiac myxoma. Anatol J Cardiol. 2017 Mar; 17 (3): 241–247.
[5] Frantisek Nehaj, Juraj Sokol, Michal Mokan, Veronika Jankovicova, Frantisek Kovar, Marianna Kubaskova, Stanislav Mizera, Marian Mokan, "Outcomes of Patients with Newly Diagnosed Cardiac Myxoma: A Retrospective Multicentric Study". BioMed Research International. 2018. https://doi.org/10.1155/2018/8320793.
[6] Dileep Kumar Singh Rathor, Narender Singh Jhajhria, V. K. Gupta. Atypical clinical presentation of right atrial myxoma: a case report. Int Surg J. 2017 Apr; 4 (4): 1444-1446.
[7] Colin, G. C., Gerber, B. L., Amzulescu, M. et al. Cardiac myxoma: a contemporary multimodality imaging review. Int J Cardiovasc Imaging 34, 1789–1808 (2018).
[8] Fabijanić D, Rudez I, Kardum D, et al. Pulmonary embolism due to the right atrial myxoma. Coll Antropol 2006; 30: 933–6.
[9] Ahmad Nawid Latifi, Uzochukwu Ibe, Joseph Gnanaraj. A case report of atrial myxoma presenting with systemic embolization and myocardial infarction. European Heart Journal - Case Reports. 2019; 3 (3).
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[12] Macit Kalçık, Emrah Bayam, Ahmet Güner, Ayhan Küp, Semih Kalkan, Mahmut Yesin, Mustafa O. Gürsoy, Sabahattin Gündüz, Süleyman Karakoyun, Mehmet Özkan. Evaluation of the potential predictors of embolism in patients with left atrial myxoma. 2019 April. https://doi.org/10.1111/echo.14331.
[13] Kyo Seon Lee, Gwan Sic Kim, Yochun Jung, In Seok Jeong, Kook Joo Na, Bong Suk Oh, Byung Hee Ahn & Sang Gi Oh. Journal of Cardiothoracic Surgery. 2017 March. 12 (17).
[14] Garatti A, Nano G, Canziani A, Gagliardotto P, Mossuto E, Frigiola A, et al. Surgical excision of cardiac myxomas: twenty years experience at a single institution. Ann Thorac Surg. 2012; 93: 825–31.
[15] Andreas Karabinis, George Samanidis, Mazen Khoury, George Stavridis, and Konstantinos Perreas. presentation and treatment of cardiac myxoma in 153 patients. Medicine (Baltimore). 2018 Sep; 97 (37): e12397.
[16] Jones DR, Warden HE, Murray GF, Hill RC, Graeber GM, Cruzzavala JL, et al. Biatrial approach to cardiac myxomas: a 30-year clinical experience. Ann Thorac Surg. 1995; 59: 851–5. discussion 5–6.
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Cite This Article
  • APA Style

    Nakisa Khansari, Masumeh Abdolhosseini, Keihan Karimian, Farnaz Fariba. (2022). Atypical Symptom and Clinical Features of Right Atrial Myxoma: A Case Report. International Journal of Cardiovascular and Thoracic Surgery, 8(1), 8-11. https://doi.org/10.11648/j.ijcts.20220801.12

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    ACS Style

    Nakisa Khansari; Masumeh Abdolhosseini; Keihan Karimian; Farnaz Fariba. Atypical Symptom and Clinical Features of Right Atrial Myxoma: A Case Report. Int. J. Cardiovasc. Thorac. Surg. 2022, 8(1), 8-11. doi: 10.11648/j.ijcts.20220801.12

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    AMA Style

    Nakisa Khansari, Masumeh Abdolhosseini, Keihan Karimian, Farnaz Fariba. Atypical Symptom and Clinical Features of Right Atrial Myxoma: A Case Report. Int J Cardiovasc Thorac Surg. 2022;8(1):8-11. doi: 10.11648/j.ijcts.20220801.12

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  • @article{10.11648/j.ijcts.20220801.12,
      author = {Nakisa Khansari and Masumeh Abdolhosseini and Keihan Karimian and Farnaz Fariba},
      title = {Atypical Symptom and Clinical Features of Right Atrial Myxoma: A Case Report},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {8},
      number = {1},
      pages = {8-11},
      doi = {10.11648/j.ijcts.20220801.12},
      url = {https://doi.org/10.11648/j.ijcts.20220801.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20220801.12},
      abstract = {Cardiac tumors are rare in medicine. Myxomas are the most common benign cardiac tumors. Most myxomas (>80%) are found in the left atrium. The site of 15-20% of cases of myxoma is the right atrium. The incidence of cardiac myxoma peaks at 40 to 60 years of age. Most atrial myxomas occur sporadically and are more common in middle-aged women. Patients with atrial myxoma usually have one of the symptoms in the following tetrad: embolic phenomena, intracardiac flow obstruction, arrhythmias and constitutional symptoms. The modality of choice for diagnosis of cardiac myxoma is an Echocardiography. Surgery should be considered promptly, because embolic complications or sudden death can be occured. This surgery is usually safe with low morbidity and mortality. Operative mortality is reported to be within 5%, and will be increased with myxoma occurring in the ventricle. Our case was a 47-year-old Iranian male with right atrial myxoma and a history of heart burn, he does not mention fever and chill, cough, chest pain or dyspnea. In CT Angiography of pulmonary artery showing pulmonary thromboembolism. After echocardiography and pulmonary CT angiography he underwent cardiac surgery and mass with adhesion to the right atrial wall near the IVC was excised. The patient was discharged after surgery with good general condition and stable vital signs.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Atypical Symptom and Clinical Features of Right Atrial Myxoma: A Case Report
    AU  - Nakisa Khansari
    AU  - Masumeh Abdolhosseini
    AU  - Keihan Karimian
    AU  - Farnaz Fariba
    Y1  - 2022/01/26
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijcts.20220801.12
    DO  - 10.11648/j.ijcts.20220801.12
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 8
    EP  - 11
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20220801.12
    AB  - Cardiac tumors are rare in medicine. Myxomas are the most common benign cardiac tumors. Most myxomas (>80%) are found in the left atrium. The site of 15-20% of cases of myxoma is the right atrium. The incidence of cardiac myxoma peaks at 40 to 60 years of age. Most atrial myxomas occur sporadically and are more common in middle-aged women. Patients with atrial myxoma usually have one of the symptoms in the following tetrad: embolic phenomena, intracardiac flow obstruction, arrhythmias and constitutional symptoms. The modality of choice for diagnosis of cardiac myxoma is an Echocardiography. Surgery should be considered promptly, because embolic complications or sudden death can be occured. This surgery is usually safe with low morbidity and mortality. Operative mortality is reported to be within 5%, and will be increased with myxoma occurring in the ventricle. Our case was a 47-year-old Iranian male with right atrial myxoma and a history of heart burn, he does not mention fever and chill, cough, chest pain or dyspnea. In CT Angiography of pulmonary artery showing pulmonary thromboembolism. After echocardiography and pulmonary CT angiography he underwent cardiac surgery and mass with adhesion to the right atrial wall near the IVC was excised. The patient was discharged after surgery with good general condition and stable vital signs.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Department of Cardiology, Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, Iran

  • Department of Cardiology, Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, Iran

  • Department of Cardiology, Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, Iran

  • Department of Cardiology, Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, Iran

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