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Case Reports
. 2018 Apr 17:2018:bcr2017223903.
doi: 10.1136/bcr-2017-223903.

Massive right atrial myxoma presenting as congestive heart failure: an unusual presentation of a rare tumour

Richa Agrawal  1 , Ajay Sharma  1 , Ranjit Kumar Nath  1   2 , Bhagya Narayan Pandit  1   2
Affiliations
Case Reports

Massive right atrial myxoma presenting as congestive heart failure: an unusual presentation of a rare tumour

Richa Agrawal et al. BMJ Case Rep. .

Abstract

Cardiac myxomas are the most common type of primary cardiac tumour. The most common location of cardiac myxoma is left atrium. Right atrial myxomas are very rare and usually asymptomatic or sometimes present with dyspnoea. Right atrial myxoma presenting as a right-sided heart failure is very rare. We report a very rare case of a 52-year-old man of right atrial myxoma presented unsually as right-sided heart failure.

Keywords: heart failure; hypertension.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) A huge RA mass almost completely filling RA cavity and also prolapsing into RV up to greater extent. (B) RA mass is attached to the junction of free wall and roof by a pedicle (shown by thick arrow). RA, right atrial; RV, right ventricle.
Figure 2
Figure 2
Macroscopic feature of excised tumour showing single, polypoidal gelatinous, friable brown mass. Online supplementary video 1: RA mass is attached to the junction of free wall and roof by a pedicle. Online supplementary video 2: RA mass prolapsing through the tricuspid valve into the RV during diastole and not completely coming back to right atrium with some part remaining in RV during ventricular systole. RA, right atrial; RV, right ventricle.
See this image and copyright information in PMC

References

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