Key result
Tumor excision under cardiopulmonary bypass led to an uneventful recovery and resolution of obstructive sleep apnea syndrome symptoms in a patient with a right atrial hemangioma.
Case Report (n=1)
A large right atrial tumor can masquerade as obstructive sleep apnea syndrome, and surgical excision can lead to complete resolution of symptoms.
Cardiac tumors warrant consideration in refractory obstructive sleep apnea; leaves open the need for systematic evaluation of this association.
We report a case of a large right atrial hemangioma masquerading as a clinical presentation of obstructive sleep apnea syndrome (OSAS) in a 57-year-old man, who was wrongfully treated with nocturnal continuous positive airway pressure (CPAP) prior to surgical consultation. The exact diagnosis was made during the investigation for his cardiac arrhythmia. A large right atrial tumor obstructing the tricuspid valve intermittently was noted on cardiac echocardiography. His symptoms became worse when the patient was lying flat. Tumor excision under cardiopulmonary bypass was carried out, which confirmed the preoperative finding of cardiac hemangioma. The patient underwent uneventful recovery postoperatively and the symptoms of OSAS settled after surgery. To our knowledge, this is the first reported case of right atrial tumor masquerading as a clinical presentation of OSAS.
No takes yet. Share an insight, caveat, or question.
Thung et al. (2007) conducted a case report in Right atrial hemangioma masquerading as obstructive sleep apnea syndrome (n=1). Tumor excision under cardiopulmonary bypass was evaluated on Recovery and resolution of OSAS symptoms. Tumor excision under cardiopulmonary bypass led to an uneventful recovery and resolution of obstructive sleep apnea syndrome symptoms in a patient with a right atrial hemangioma.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: