Right atrial myxoma should be considered in patients presenting with pulmonary embolism without an obvious source.
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May support considering right atrial myxoma in unexplained pulmonary embolism; hypothesis-generating case report leaves confirmation to larger studies.
A 14-year-old girl whose sole presenting features were symptoms of pulmonary embolism, was found to have bi-atrial myxomas. The diagnosis was made preoperatively, and the patient had a successful outcome following elective surgery. The absence of other features such as systemic embolism, atrioventricular valvular obstruction, fever and constitutional symptoms makes this a most unusual case. Right atrial myxoma should be considered in any patient presenting with pulmonary embolism for which there is no obvious source.
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Hanly et al. (1984) studied this question.
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