Highlights the importance of echocardiography in the early detection of atrial myxomas, especially when obscured by coexisting conditions like rheumatic mitral valve disease.
May inform individualized management of rare giant myxomas with valve disease; leaves open optimal detection strategies in comorbid valvular conditions.
A patient with a 456 Gram right atrial myxoma is described. Associated rheumatic mitral valvular heart disease obscured the presence of the tumor and only with presentation of bradyarrhythmias leading to pacemaker implantation was the diagnosis suspected. Successful surgical removal of the tumor and correction of the intracardiac valvular dysfunction were performed. The role of echocardiography in the early detection of these tumors is reinforced.
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Pores et al. (1984) studied this question.
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