Myxoma

Background

  • Most common primary cardiac neoplasm
  • ~80% of myxomas originate in the left atrium, with the remainder in the right atrium[1]

Clinical Features

  • Cardiovascular symptoms mimicking mitral valve obstruction (e.g., left atrial hypertrophy)
  • Increased risk of systemic embolization
  • Constitutional symptoms (e.g., fever, weight loss)

Differential Diagnosis

Evaluation

Workup

Diagnosis

  • Typical location of myxomas is typically amenable to visualization with TTE

Management

  • Once presumptive diagnosis made, prompt resection is required due to elevated risk of embolization or cardiac complications[2]

Disposition

See Also

External Links

References

  1. Kuon E, Kreplin M, Weiss W, Dahm JB. The challenge presented by right atrial myxoma. Herz. 2004 Nov;29(7):702-9. doi: 10.1007/s00059-004-2571-7. PMID: 15580325.
  2. Keeling IM, Oberwalder P, Anelli-Monti M, Schuchlenz H, Demel U, Tilz GP, Rehak P, Rigler B. Cardiac myxomas: 24 years of experience in 49 patients. Eur J Cardiothorac Surg. 2002 Dec;22(6):971-7. doi: 10.1016/s1010-7940(02)00592-4. PMID: 12467822.