RIGHT ATRIAL MYXOMA: A RARE FINDING AND A RARELY MADE DIAGNOSIS: a case report

Dr. Ravi Prakash Pandey; Dr. P. K. Baghel; Dr. Anuraag Gupta; Dr. Panchalingappa Betageri

Volume : VII, Issue : X, October - 2017

RIGHT ATRIAL MYXOMA: A RARE FINDING AND A RARELY MADE DIAGNOSIS: a case report

Dr. Ravi Prakash Pandey, Dr. P. K. Baghel, Dr. Anuraag Gupta, Dr. Panchalingappa Betageri

Abstract :

Primary intracardiac tumors are rare and approximately 50% are myxomas. The majority of myxomas are located in the left atrium and have variable clinical presentation. We report a case of a large myxoma in the right atrium in a male patient which is uncommon for this gender, which is an uncommon location for this type of tumor.

Case presentation

A 55–year–old male presented to Department of Medicine, SGMH Rewa with a history of dyspnea on exertion and generalised body swelling for the last one and a half months. A cardiac evaluation showed muffled heart sounds. He presented with features of right heart failure i.e. pedal edema, ascites with a raised JVP and palpable liver. A provisional diagnosis of COPD with cor pulmonale was made. However an echocardiogram showed a large mass in the right atrium, suggesting RA myxoma.

Conclusions

In this case report, we emphasize the rarity of large myxomas in the right atrium in a male patient and the difficulty of differential diagnosis given their dimension and location.