Open AccessBiatrial myxoma floating like a butterfly
Author(s) -
Yanhui Li,
Xiaodong Li,
Xiaocong Wang,
Liping Chen
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000009558
Subject(s) - medicine , myxoma , fossa ovalis , palpitations , radiology , right atrium , computed tomography angiography , atrium (architecture) , left atrium , surgery , computed tomography , atrial fibrillation
Rationale: Myxoma is the most common type of primary benign cardiac tumor in adults. The left atrium is the most frequent site of origin followed by the right atrium. Biatrial myxoma is extremely rare. Patient concerns: We present a case of a 60-year-old woman with biatrial myxoma, who presented with palpitations for one month. Diagnoses: Echocardiography revealed an irregular homogeneous mass in the left atrium and in the right atrium, and were connected via the fossa ovalis suspiciously. Computed tomography angiography revealed a hypo-intense mass in both atria. Interventions: The tumors were successfully removed by surgical excision and histological analysis confirmed the diagnosis. Outcomes: The patient was discharged one week after surgery, and did not experience recurrence during the two years follow-up period. Lessons: Biatrial myxoma is rare. Surgical resection is the mainstay of treatment and there is no recurrence reported. The clinical data and the features on echocardiogram of biatrial myxoma are reviewed, providing important clinical information for the pre-operative diagnosis and intraoperative removal of biatrial myxoma.