Case Report: Biatrial Myxoma With Pulmonary Embolism and Cerebral Embolism: Clinical Experience and Literature Review

Abstract

Cardiac myxoma is a common benign primary intracardiac tumor in the general population, and it is generally characterized as a benign tumor, and the morbidity of biatrial myxoma is low. Cases of biatrial myxoma in young patients are extremely rare. Furthermore, severe complications of cardiac myxoma, such as cerebral embolism, can have fatal consequences. Imaging can effectively assist in making a correct diagnosis and a safe and efficient surgical treatment plan. In this case report, we describe a unique case of a young woman who presented with biatrial myxoma accompanied by pulmonary embolism and cerebral embolism. Computed tomography pulmonary angiography (CTPA) detected multiple filling defects in the bilateral cardiac and bilateral inferior pulmonary artery basal branches. Transthoracic echocardiography (TTE) revealed irregular isoechoic masses in the bilateral atrium. Postoperative histopathology confirmed a biatrial myxoma. The patient was discharged on the ninth day after surgery.

Dumbbell in the atrium: A rare case report of biatrial myxoma that crosses atrial septum diagnosed by multimodal echocardiography

“…Clinical presentation of cardiac myxoma is variable, and symptoms may lie non‐specific. Embolic episodes occur in 24%–34% of patients with atrial myxoma, 50%–80% involve the cerebral circulation, 4 because of its invasive nature and the risk of promoting embolism of adherent clot or tumor fragments.…”

Deep learning in computed tomography pulmonary angiography imaging: A dual-pronged approach for pulmonary embolism detection

“…Pulmonary embolism (PE) is a life-threatening medical condition characterized by the obstruction of one or more pulmonary arteries due to the presence of emboli, most commonly originating from deep vein thrombosis (DVT) (Ran et al, 2022). This cardiovascular disorder poses a significant global health burden and is associated with severe complications, including respiratory distress, right ventricular dysfunction, and even sudden death (Longo et al, 2011).…”