Key result
Surgical excision of a rare single biatrial myxoma extending through a patent foramen ovale was successfully performed, leading to an uneventful recovery and discharge without complications.
Why the study?
Single biatrial myxomas are rare cardiac neoplasms with only a few cases previously reported.
Case Report (n=1)
This case demonstrates the successful surgical management of a rare single biatrial myxoma extending through a patent foramen ovale.
Answers are grounded in this paper and cite their sources.
Supports feasibility of surgical excision for rare biatrial myxomas; hypothesis-generating and should not yet change practice.
Myxomas are rare cardiac neoplasms and may present as single or multiple tumors. Only a few cases of single biatrial myxomas have been reported. We report a very rare case of this condition in a middle-aged woman, presenting with exertional dyspnea and cough. The patient had a resting tachycardia of 105 beats per minute, and cardiac auscultation discovered a mid-diastolic murmur across the mitral valve, followed by a tumor plop focused on the apex and elevated levels of C-reactive protein (1+) and creatine phosphokinase in lab data. The diagnosis was made via transesophageal and transthoracic echocardiographic examinations, showing the tumor extension through a patent foramen ovale (PFO). The operation was undertaken, the myxoma was excised, and the PFO was repaired. She was discharged with no further complications. Although myxomas are rare, considering this condition before surgery is significant. The involvement of both atria via a PFO is possible.
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Toufan et al. (2022) conducted a case report in Biatrial Myxoma (n=1). Surgical excision and patent foramen ovale repair was evaluated on Postoperative recovery. Surgical excision of a rare single biatrial myxoma extending through a patent foramen ovale was successfully performed, leading to an uneventful recovery and discharge without complications.
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