Right Atrial Myxoma—A Case Report

Abstract

Myxomas comprise 6% to 10% of primary cardiac tumors in childhood. Less than 10% of patients with cardiac myxomas are under 15 years of age. A large myxoma occupying in the right atrium and prolapsing into the right ventricle, pulmonary artery and producing tricuspid and pulmonary valve obstructions was diagnosed by Transthoracic 2D echocardiographic imaging in a 12-yearold male child.

Leiomyosarcoma of the inferior vena cava presenting as a cardiac mass

“…On the other hand, spiral chest CT showed normal pulmonary structure and vascular markings without any intrapulmonary nodules or patchy opacities. Therefore, exertional dyspnea, weakness, and easy fatigability were probably due to obstruction of RA outflow leading to reduced cardiac output . Dyspnea of varying degrees is a key symptom in LSM with cardiac involvement, as in our patient whose hemoglobin level was 7.7 mg/dl, suggesting that anemia contributed to dyspnea and may have been its primary cause .…”

“…Therefore, exertional dyspnea, weakness, and easy fatigability were probably due to obstruction of RA outflow leading to reduced cardiac output. 8 Dyspnea of varying degrees is a key symptom in LSM with cardiac involvement, as in our patient whose hemoglobin level was 7.7 mg/dl, suggesting that anemia contributed to dyspnea and may have been its primary cause. 9 Passive hepatic congestion is associated with elevated prothrombin time, 10 as in our patient who also had increased INR.…”