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Case Reports
. 2023 May 17;15(5):e39148.
doi: 10.7759/cureus.39148. eCollection 2023 May.

Diagnosis and Treatment of Cardiac Myxoma

Nathaniel Manche  1 , Megan K Mercer  1 , Dhiraj Baruah  1
Affiliations
Case Reports

Diagnosis and Treatment of Cardiac Myxoma

Nathaniel Manche et al. Cureus. .

Abstract

Cardiac myxoma is the most common primary cardiac neoplasm. It is a benign tumor that typically arises in the left atrium, specifically from the interatrial septum adjacent to the fossa ovalis. We present a case of a 71-year-old male presenting with hematuria that was incidentally found to have a left atrial myxoma on a CT urogram. Follow-up CT and MRI of the heart demonstrated findings compatible with myxoma. Cardiothoracic surgery was consulted, and the patient underwent resection of the left atrial mass, which was confirmed to be a myxoma on pathology.

Keywords: cardiac myxoma; cardiac neoplasm; cardiac tumor; cardiology cardiac ct and mri; mri cardiac.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT urogram showing an incidental partially visualized 2.1 cm round hypodensity extending into the left atrium from the interatrial septum (arrow).
CT: computed tomography
Figure 2
Figure 2. CTA in sagittal (a) and axial (b) views. Pedunculated 2.3 × 1.8 cm hypoattenuating left atrial mass arising from the fossa ovalis of the interatrial septum (arrows).
CTA: computed tomography angiography
Figure 3
Figure 3. MRI of the heart with and without contrast: (a) four-chamber view, (b) T2 Haste, (c) T1 pre-contrast, and (d) T1 post-contrast (Gd). Pedunculated left atrial mass corresponding with the mass previously seen on CT demonstrating low signal on T1, high signal on T2, and heterogenous enhancement on T1 C+ (Gd) (arrows).
MRI: magnetic resonance imaging, CT: computed tomography, Gd: gadolinium
Figure 4
Figure 4. Transthoracic echocardiogram: (a) echocardiogram demonstrating a 1.9 cm left atrial mass and (b) echocardiogram performed three months prior demonstrating the left atrial mass measuring 1.7 cm (arrows).
See this image and copyright information in PMC

References

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