Real-time three-dimensional echocardiography is effective for visualizing and characterizing a right atrial myxoma associated with an atrial septal defect.
May support 3D echo characterization and surgical relief in rare myxoma with ASD; hypothesis-generating and should not change practice.
A 40-year-old woman presented with a 1 month history of shortness of breath and easy fatigability. Two-dimensional echocardiography and real-time three-dimensional echocardiography (RT3DE) showed a large right atrial mass protruding into the right ventricle and an atrial septal defect (ASD). Successful excision of the mass, which proved to be a myxoma, and closure of the ASD completely relieved her symptoms. To our knowledge, this is the first report of RT3DE in a patient with right atrial myxoma associated with an ASD.
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Chamsi‐Pasha et al. (2008) studied this question.
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