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Case Reports
. 2009;36(6):594-7.

Right atrial paraganglioma: a rare primary cardiac neoplasm as a cause of chest pain

Mohammad Tahir  1 , Syed Javad Noor, Aravind Herle, Stephen Downing
Affiliations
Case Reports

Right atrial paraganglioma: a rare primary cardiac neoplasm as a cause of chest pain

Mohammad Tahir et al. Tex Heart Inst J. 2009.

Abstract

A 37-year-old man presented with chest pain, fever, and tachycardia. Electrocardiography revealed no ST-T wave changes, and cardiac markers were normal. Computed tomography of the chest showed a 7-cm mass in the right atrium. The tumor was successfully resected, and the histopathologic features were consistent with paraganglioma.

Keywords: Angina pectoris; computed tomography; heart atria/pathology/surgery; heart neoplasms/diagnosis; paraganglioma/diagnosis/surgery.

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Figures

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Fig. 1. Contrast computed tomography of the chest (mediastinal window) shows the tumor in the right atrium (arrows) in axial (A) and coronal (B) views. C) Postoperative computed tomographic coronary angiography (axial view) shows successful reconstruction of the right and left atria.
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Fig. 2. Hematoxylin & eosin staining shows a cellular tumor in the right atrium. A (orig. ×4) and B (orig. ×10) show the richly vascular nature of the tumor and the high cellularity. C (orig. ×20) shows polygonal tumor cells with uniform-appearing oval nuclei, without atypia. The cells are organized into zellballen, which is characteristic of paraganglioma.
See this image and copyright information in PMC

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