Right Ventricular Myxoma

Gopal, Aasha S.; Arora, Navin S.; Messineo, Frank C.

doi:10.1056/nejm200001273420418

Cited by 23 publications

(13 citation statements)

References 4 publications

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“…1,2 Cardiac myxomas are the most common benign cardiac tumors in adults, and most of them are located in the left atrium; right ventricular myxomas are extremely rare. There are several case reports of right ventricular myxoma obstructing the outfl ow tract in adults and older children, [5][6][7][8] but there are few reports of this pathology during early childhood. Cardiac myxomas in the pediatric age group have relevance in particular to a condition known as familial myxoma syndrome.…”

Section: Discussionmentioning

confidence: 94%

“…1 The symptoms of right ventricular myxomas are heart murmur, arrhythmia, syncope, embolism, and sudden death. [5][6][7][8] These symptoms are determined by the tumor's location and size. Right ventricular myxomas may cause obstruction of the RVOT and pulmonary main trunk, which may also lead to complications such as syncope, pulmonary embolism, and sudden death.…”

Section: Discussionmentioning

confidence: 99%

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Right ventricular myxoma obstructing the pulmonary artery during early childhood

Kumagai

Endo

et al. 2008

Gen Thorac Cardiovasc Surg

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Primary cardiac tumors are uncommon during infancy and childhood. Myxomas originating in the right ventricle are even less common in pediatric patients. A 2-year-old girl was referred to our hospital under a diagnosis of right ventricular tumor. The aim of the operation was extirpation of the tumor. Perioperative cardiac arrest occurred when the tumor obstructed the pulmonary artery. After promptly establishing cardiopulmonary bypass, the tumor was removed from the right ventricular outflow tract. The patient was discharged on the 13th postoperative day without complications.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Right ventricular myxoma obstructing the pulmonary artery during early childhood

Kumagai

Endo

et al. 2008

Gen Thorac Cardiovasc Surg

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“…6 The incidental detection and subsequent excision of the tumor prevented not only any possible obstructive or embolic manifestations, but also gradual destruction of mainly the tricuspid valve and (to a lesser degree) the pulmonary valve. 9,10 Furthermore, if the myxoma had grown and reached the limits of operability, a more aggressive surgical technique than simple excision would have been needed. 11 Because the FAST exam is an emergency procedure, it is difficult for the physician to search for abnormalities other than free fluid and solid organ injury.…”

Section: Discussionmentioning

confidence: 99%

Rare right ventricular myxoma detected incidentally on a FAST examination

Brestas

Malagari

Kelekis

2005

J of Clinical Ultrasound

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A young man underwent Focused Assessment with Sonography in Trauma (FAST) scan for blunt abdominal trauma. An incidental finding on the pericardial view was the presence of a tumor in the right ventricle. Detailed cardiac imaging and subsequent excision revealed the presence of a myxoma. The patient had no obvious cardiac symptoms, but the awareness and experience of the examiner during the FAST examination detected this rare heart tumor at a latent stage, preventing serious, irreversible complications. This case demonstrates the potential importance of looking above the diaphragm during routine abdominal sonography, especially in patients who are critically ill.

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“…The incidence of right-sided myxomas is around 5%. [34] An intracavitary mass that obstructs the right ventricular outflow tract is about 300 times more likely to be malignant than benign.…”

Section: Radiology Findingsmentioning

confidence: 99%