Document Type : Case Report

Authors

1 Assistant Professor, Department of Cardiology, Dey 9th Hospital, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

2 Department of Obstetrics and Gynecology, Qaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Obstetrics and Gynecology, Dey 9th Hospital, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

4 Department of Cardiac Anesthesiology, School of Medicine, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

BACKGROUND: The presence of primary intracardiac tumors are scarce, and most of them are myxomas. We reported, in this paper, a case with huge mass in the right side of the heart. CASE REPORT: A 45-year-old man, with a complaint of bilateral lower limbs edema and exertional dyspnea, was admitted to intensive cardiac care unit. Cardiac auscultation revealed soft grade systolic murmur without any evidence of “tumor plop.” Echocardiography showed a huge mobile mass in right side of the heart that suggested myxoma. Our patient underwent cardiac surgery with excision of 13 cm mass. Histopathological study was confirmed the diagnosis of mass type. CONCLUSION: In this case report, it shows that in the differential diagnosis of right-sided heart failure, the right sided myxoma must be considered. The preferable approach in patient with cardiac myxomas is surgical excision to alleviate symptoms, early identification, and removal. 

Keywords

  1. Nina VJ, Silva NA, Gaspar SF, Raposo TL, Ferreira EC, Nina RV, et al. Atypical size and location of a right atrial myxoma: a case report.
  2. J Med Case Rep 2012; 6: 26.
  3. Jang KH, Shin DH, Lee C, Jang JK, Cheong S, Yoo SY. Left atrial mass with stalk: Thrombus or myxoma? J Cardiovasc Ultrasound 2010; 18(4): 154-6.
  4. Vale Mde P, Freire Sobrinho A, Sales MV, Teixeira MM, Cabral KC. Giant myxoma in the left atrium: case report. Rev Bras Cir Cardiovasc 2008; 23(2): 276-8.
  5. Diaz A, Di Salvo C, Lawrence D, Hayward M. Left atrial and right ventricular myxoma: an uncommon presentation of a rare tumour. Interact Cardiovasc Thorac Surg 2011; 12(4): 622-3.
  6. Gribaa R, Slim M, Kortas C, Kacem S, Ben Salem H, Ouali S, et al. Right ventricular myxoma obstructing the right ventricular outflow tract: a case report. J Med Case Rep 2014; 8: 435.
  7. Huang SC, Lee ML, Chen SJ, Wu MZ, Chang CI. Pulmonary artery myxoma as a rare cause of dyspnea for a young female patient. J Thorac Cardiovasc Surg 2006; 131(5): 1179-80.
  8. Manfroi W, Vieira SR, Saadi EK, Saadi J, Alboim C. Multiple recurrences of cardiac myxomas with acute tumoral pulmonary embolism. Arq Bras Cardiol 2001; 77(2): 161-6.
  9. Stolf NA, Benķcio A, Moreira L F, Rossi E. Right atrium myxoma originating from the inferior vena cava: An unusual location with therapeutic and diagnostic implications. Rev Bras Cir Cardiovasc 2000; 15(3): 255-8.
  10. Samanidis G, Perreas K, Kalogris P, Dimitriou S, Balanika M, Amanatidis G, et al. Surgical treatment of primary intracardiac myxoma: 19 years of experience. Interact Cardiovasc Thorac Surg 2011; 13(6): 597-600.
  11. Mann DL, Zipes DP, Braunwald E, Bonow RO. Braunwald's heart disease: A textbook of cardiovascular medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015.