Key result
Surgical excision successfully treats RA myxoma presenting as acute abdominal pain and PE-induced circulatory arrest.
Why the study?
Pulmonary embolism due to fragmentation of right atrial myxoma is rare and may explain some unexplained sudden deaths beyond medical help.
Case Report (n=1)
Right atrial myxoma fragmentation can present atypically as acute abdominal pain and cause life-threatening pulmonary embolism, representing a rare potential cause of unexplained sudden death.
Alerts clinicians to rare right atrial myxoma in youth with abdominal pain plus PE; leaves open need for prospective data on detection.
In a 17-year-old youth, exploratory laparotomy for acute abdominal pain was complicated by circulatory arrest related to pulmonary embolism. Echocardiography after resuscitation revealed a hitherto "silent" right atrial myxoma, fragmentation of which had blocked the right atrioventricular ostium, causing the pain. Operation was successful. As only a few similar cases have been reported, pulmonary embolism due to fragmentation of a right atrial myxoma may account for some unexplained sudden deaths beyond medical help.
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Bitner et al. (1998) conducted a case report in Right atrial myxoma complicated by pulmonary embolism (n=1). Surgical operation was evaluated on Surgical success and survival. Surgical operation was successful in treating a 17-year-old youth with a right atrial myxoma that had presented as acute abdominal pain and caused circulatory arrest from pulmonary embolism.
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