The symptoms of myxomas depend on the size, mobility, and location of the tumor. A huge myxoma obstructing the tricuspid orifice can produce symptoms of tricuspid stenosis. In this case, a giant right atrial myxoma with intermittent tricuspid obliteration, presenting with clinical manifestations of right heart failure, is described. Three-dimensional reconstruction clearly identified the occlusive extent of the tricuspid orifice.
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