Key result
Surgical excision of RV myxoma with TVR yields considerable symptomatic improvement without recurrence.
Case Report (n=1)
Multimodal imaging facilitates accurate diagnosis of right ventricular myxomas, and complete surgical resection provides definitive management and symptomatic relief.
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May support surgical management of rare right ventricular myxomas; hypothesis-generating and should not yet change practice.
BACKGROUND: A 41-year-old woman presented with chest pain and dyspnea progressively worsening over a year. Examination revealed an ejection systolic murmur, and imaging identified the right ventricular mass, suspected to be a myxoma. CASE SUMMARY: Transthoracic echocardiography revealed a right ventricular echogenic mass with severe tricuspid regurgitation, confirmed using computed tomography and magnetic resonance imaging. The patient underwent surgical excision of the mass with tricuspid valve replacement. Histopathologic examination confirmed a myxoma. Postoperatively, the patient required pacemaker implantation but showed considerable symptomatic improvement with no recurrence on follow-up. DISCUSSION: Myxomas are the most common primary cardiac tumors in adults. Multimodal imaging is crucial for diagnosis and treatment planning. Complete surgical resection can achieve optimal outcomes. TAKE-HOME MESSAGES: Myxomas are the most common primary cardiac tumors in adults. Multimodal facilitates accurate diagnosis and treatment planning, while complete surgical resection remains the definitive management strategy.
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Malla et al. (2025) conducted a case report in Right ventricular myxoma (n=1). Surgical excision with tricuspid valve replacement was evaluated on Symptomatic improvement and recurrence. Surgical excision of a right ventricular myxoma with tricuspid valve replacement resulted in considerable symptomatic improvement with no recurrence on follow-up.
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