Trepopnea in a patient with right ventricular myxoma

<p>Atrial myxoma presenting as a non-ST-segment elevation myocardial infarction</p>

“…There was a possible element of intracardiac obstruction resulting in mild heart failure symptomatology and angina from suspected embolization without overt constitutional symptoms. She did not report trepopnea preceding her admission, nor was there any evident “tumor plop” auscultated during the physical examination 8,9. A case series of 112 myxoma patients describes 65% of patients as having cardiac auscultatory abnormalities with only 15% displaying the characteristic “tumor plop.” Left atrial hypertrophy on electrocardiogram accounted for the most frequent electrocardiographic abnormality in 35% of patients, whereas in our patient a sinus tachycardia with a right bundle branch block was present 6…”