Key result
Pericardiocentesis drains 500cc of massive pericardial effusion to stabilize a giant RV myxoma before surgery.
Why the study?
Right ventricle myxomas are rare and can cause life-threatening complications such as obstruction and pericardial effusion requiring urgent management.
Case Report (n=1)
This case highlights a rare presentation of a giant right ventricular myxoma complicated by massive pericardial effusion and right heart failure, requiring prompt pericardiocentesis and urgent surgical excision.
Right ventricular myxoma warrants consideration in young adults with right heart failure; leaves open standardized management after pericardiocentesis.
Myxomas are benign cardiac tumors that are mostly found in the left atrium. We present a case of a 20-year-old male patient who presented with worsening dyspnea and signs of right heart failure. The echocardiography shows an untreated giant intracardiac mass in a rare place in the right ventricle, obstructing the blood flow, and massive pericardial effusion. We do a pericardiocentesis first to manage the pericardial effusion. Pericardiocentesis was done in different normal locations due to ascites permagna. Nevertheless, our patient needs emergency surgical excision as soon as possible to prevent sudden death caused by obstruction, embolic, and other complications.
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Lukitawening et al. (2023) conducted a case report in Right Ventricle Myxoma with Pericardial Effusion (n=1). Pericardiocentesis was evaluated on Pericardial fluid drainage. A 20-year-old male with an untreated giant right ventricular myxoma and massive pericardial effusion underwent pericardiocentesis to drain 500cc of fluid before referral for definitive surgical excision.
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