Key result
Surgical excision of large right atrial myxoma leaves patient asymptomatic at 6 months.
Why the study?
Right atrial myxomas are rare compared to left atrial myxomas and can present atypically, necessitating detailed case reports to inform diagnosis and management.
Case Report (n=1)
No
Highlights the successful surgical management of an atypically large right atrial myxoma.
Supports individualized surgical approaches for large right atrial myxomas; extends sparse case reports but leaves definitive guidelines open.
INTRODUCTION: Myxomas are the most common type of cardiac benign tumors and most of them are located in the left atrium, followed by the right atrium. The majority of Myxomas is located in the left atrium and has a variable clinical presentation. Myxomas affect patients within a wide age range (15-80 years), and the average age is approximately 50 years. There is a female predominance in the sporadic form. Myxomas are usually pedunculated, solitary, and sporadic but may be associated with familial autosomal dominant syndromes. CASE PRESENTATION: We report a 38-year-old female presented with large myxoma in the right atrium and atypical presentation and successfully underwent surgical excision of right atrial myxoma. The patient was asymptomatic on 6 months follow up. CONCLUSION: Cardiac myxomas are the most frequent finding among primary cardiac tumors. Clinical manifestations depend on the involvement in valvular obstruction, distant arterial embolisms, or nonspecific, constitutional symptoms. Transoesophageal Echocardiography is the cornerstone for diagnosis of atrial myxoma. Cardiac myxomas should be managed with surgical resection.
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Setty et al. (2019) conducted a case report in Right atrial myxoma (n=1). Surgical excision was evaluated on Clinical status at follow-up. Surgical excision of a large right atrial myxoma was successful, leaving the patient asymptomatic at 6 months follow-up.
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