A Common Primary Cardiac Tumor With an Uncommon Presentation

BackgroundCardiac tumors are rare, and most are secondary (metastatic) lesions.Primary tumors, though uncommon, are typically benign, with myxomas being the most frequent and occasionally displaying unique features.Diagnosis often requires multimodality imaging. Case summaryA 41-year-old man with a history of ischemic stroke and resection of an apical left ventricular myxoma presented for evaluation after a follow-up transthoracic echocardiogram (TTE) revealed a mobile, ovoid apical lesion with high embolic risk, despite being asymptomatic.Cardiac magnetic resonance (CMR) imaging suggested recurrence of the ventricular myxoma.Surgical resection was performed, and histopathology confirmed the diagnosis of cardiac myxoma (CM). DiscussionCMs are the most common primary benign cardiac tumors, typically located in the left atrium and attached to the interatrial septum.They are less frequently found in the ventricular cavities.About half of cases are asymptomatic, and recurrence is possible after resection.This case highlights a rare instance of late recurrence in an atypical location.