Sporadic Cardiac Myxoma Involving All the Cardiac Chambers

A thirty-two-year-old woman was admitted with complaints of fever, palpitations, and syncopal episodes for the last 3 months. On examination she was found to have elevated jugular venous pressure and pallor. Cardiovascular examination revealed loud first and second heart sounds with mid diastolic murmurs in mitral and tricuspid areas. ECG showed incomplete right bundle-branch block pattern. Transthoracic echocardiogram showed 4.5 × 4.6 cm size heterogenous intracardiac mass in right atrium (RA) attached to interatrial septum (Figure 1 and Movie I in the online-only Data Supplement). Two masses of similar echo texture were noted, 1 in the left atrium (LA; size 2.9 × 1.9 cms) attached …