Why the study?
Right ventricular myxomas are rare cardiac tumors associated with significant risks and poor outcomes, especially in patients with recent hemorrhagic stroke and cerebral arteriovenous malformations, requiring complex perioperative management and multidisciplinary decision-making.
Case Report (n=1)
No
Demonstrates the successful multidisciplinary surgical management of a rare right ventricular myxoma in a patient with a high risk of hemorrhagic stroke.
Supports individualized surgical management in high-bleeding-risk right ventricular myxoma; hypothesis-generating and leaves open need for larger prospective studies.
Cardiac myxomas extending from the right ventricle are uncommon and this rare condition is potentially associated with several risks and poor outcomes. We report the case of a patient with a right ventricular myxoma who had a recent haemorrhagic stroke due to an arteriovenous malformation. The preoperative and intraoperative managements were challenging and required several difficult choices by the medical team and consequently, a multidisciplinary approach and a benefit-risk evaluation were necessary to determinate timely surgical resection in an urgent situation, simultaneously avoiding delayed or improper treatments, achieving a successful outcome in a very high-risk situation.
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Scarlata et al. (2024) conducted a case report in Right ventricular myxoma with recent hemorrhagic stroke (n=1). Urgent surgical excision with tricuspid valve annuloplasty was evaluated.
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