An Unusual Case of Biatrial Myxoma in a Young Female

Abstract

Myxoma, a rare type of intracardiac tumor, forms a very small percentage of the cardiac cases. Reports of biatrial myxoma are rarer, with cases of single tumor reaching both atria being more common. Here, we present an unusual case of two independently growing atrial myxoma in a 29-year-old female. We emphasize that early recognition of symptoms, confirmation of diagnosis by transesophageal echocardiography, and prompt surgical excision remain vital in the management of such patients. The patient in the present case was managed successfully with no evidences of recurrence at the last follow-up.

Left Atrial Dissection and Rupture Following Excision of Left Atrial Myxoma: Role of Transesophageal Echocardiography

“…An LA mass after excision of LA myxoma has been described due to residual 2 or additional masses, such as biatrial, 3 as well as multicentric 4 myxomas or a thrombus. Another common mimic is an inverted LA appendage, which usually everts and disappears with cardiac filling.…”

Biatrial myxoma floating like a butterfly

“…In this review, 2 patients were asymptomatic; [ 4 , 5 ] however, symptoms were present in the other patients. The most common symptom in our review was dyspnea or exertional dyspnea, [ 6 – 10 ] followed by syncope [ 3 , 11 ] and palpitation. [ 12 , 13 ] Two patients complained of cough [ 10 , 14 ] and 1 complained of chest pain.…”

Mixoma Atrial Recorrente em Paciente com Complexo de Carney. Relato de Caso e Revisão de Literatura

“…Multiple CMs represents 5% of all CMs and only 50% of them have a bilateral origin. 4 CMs have a wide range of manifestations, mostly obstructive symptoms, but they can also produce embolisms being the worst of their scenarios. 1 There are 2 types of CM: 1.…”

“…5 They appear at an average age of 25 years and tend to be multiple in 45% of cases, with a relapse rate between 15% and 22%. 1,4,6…”