An Atypical Giant Right Atrial Myxoma Presented with Minimal Symptoms

Huseyın Goksuluk*, Orhan Veli Doğan, Barbaros Dokumacı and Ilker Ozer

Introduction

Primary tumours of the heart are not common and the prevalence of cardiac tumors ranges from 0,001% to 0,3% at autopsy [1]. Over 70% of primary cardiac tumors are benign and the most common form of these primary tumours are myxomas. Most of the myxomas are located in the left atrium (%75–80), arising from the interatrial septum at the border of the fossa ovalis [2]. Larger tumors are more likely to be associated with cardiovascular symptoms [3]. Commonly observed symptoms and signs are dyspnea, pulmonary edema, cough, peripheral edema and fatigue. Constitutional symptoms (fever, weight loss) are seen in around 30% of patients. Laboratory abnormalities (anemia and elevations in the erythrocyte sedimentation rate, C-reactive protein) are present in 35 % of patients [4].

This case report show us discrepancy between giant right atrial myxoma and atypical symptom of patient. Once a cardiac myxoma is diagnosed, surgical excision should be performed without delays because of the risk of thromboembolic events [5-7], syncope and sudden cardiac death. Generally, surgical treatment is definitive and recurrence is uncommon.

Keywords: Atrial myxoma; Right atrial mass; Constitutional symptoms

Published on: Jun 29, 2016 Pages: 15-17

Full Text PDF Full Text HTML DOI: 10.17352/2455-5452.000013
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