Right atrial myxoma - superior vena cava obstruction

Case contributed by Dr Francisco Faicán B

Presentation

Dysponea, cough, chest pain and cyanosis.

Patient Data

Age: 65 years
Gender: Male

An intra-cardiac mass is low attenuating in the right atrium, obstructs the superior vena cava. An eccentrically positioned partial filling defect material and forms acute angles with the arterial wall in keeping with an acute pulmonary embolus. Pulmonary infarction and bilateral pleural effusions noted.

Case Discussion

Cardiac myxomas are the most common primary cardiac tumor in adults. Although commonly found in the left atrium, they may also be found in the right atrium. Obstruction of the valvular flow and embolic event are known complication.

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Case information

rID: 48820
Published: 31st Oct 2018
Last edited: 14th Aug 2019
System: Chest, Cardiac
Inclusion in quiz mode: Included

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