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“Gigantic” biatrial myxoma with right heart functional impairment
Author(s) -
Vega Adauy Julián,
Gabrielli Luigi,
Córdova Samuel,
McNab Paul,
Saavedra Rodrigo,
Piñeiro Marta,
Zalaquett Ricardo
Publication year - 2018
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14014
Subject(s) - medicine , myxoma , cardiology , right atrial myxoma , septum secundum , interatrial septum , exertional dyspnea , ostium , foramen secundum , atrial septum , cardiac tumors , left atrial myxoma , radiology , patent foramen ovale , percutaneous , atrial fibrillation , left atrium
Cardiac myxomas are frequently located in the left or right atria, with multiple locations being rare. We report a 59‐year‐old healthy female with 5 months of cough and exertional dyspnea. A transthoracic echocardiography ( TTE ) exhibits a 9 × 5 cm nonpedunculated tumor arising from the interatrial septum ( IAS ) and inhabiting both atria, but was unable to depict the relation with the IAS . Transesophageal echocardiography exposes a single tumor crossing the IAS through an ostium secundum atrial septal defect ( ASD ) causing right heart functional impairment. Uneventful cardiac surgery allowed complete resection of the lesion and ASD closure. Pathology reported a myxoma.
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