Why the study?
Cardiac masses present with a wide range of nonspecific symptoms, making clinical diagnosis difficult and highlighting the need for accurate diagnostic evaluation with echocardiography.
Highlights the importance of echocardiography in the early diagnosis of atypically located cardiac myxomas in young patients presenting with exertional dyspnea.
Echocardiography may aid atypical myxoma detection in symptomatic patients; this case leaves open need for larger series on management.
Cardiac masses can present as primary and secondary tumors, thrombus, vegetation, cysts, or iatrogenic material.When examining primary cardiac tumors, 75% are found to be benign, while 25% are malignant.Sarcomas and lymphomas are the most common malignant tumors, while myxomas are the most common benign tumors.Observing the localization of myxomas, they most commonly settle in the left atrium and interatrial septum.Although less common, cases have been reported where they are located in the right atrium or ventricles.Similar to myxomas, patients with cardiac masses generally appear with a wide range of complaints, such as fatigue, shortness of breath, dizziness, or cerebrovascular embolism, making it difficult to reach a diagnosis based on anamnesis.However, echocardiography plays a significant role in the screening of intracardiac masses, offering substantial advantages for diagnosis.In our case, we highlighted the importance of accurate diagnosis and treatment of myxoma in a young patient presenting with exertional dyspnea.
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Sert et al. (2024) studied this question.
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