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Updated: Oct 1, 2026

Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
[Recurrent pleural effusion revealing a left atrial myxoma]
Irina Strâmbu1, Adriana Ilieşiu, Ruxandra Creţul
1Clinica Medicală, Spitalul Th. Burghele.
Abstract:
A 43 years old woman without any medical history was admitted 8 months before with a right pleural effusion, considered and treated as tuberculous pleurisy, with a good evolution. The recurrence of the right pleural effusion, the reappearance of chest pain, anxiety and nocturnal dyspnea elicited new investigations. The pleural fluid had a low protein content, pleural biopsy was irrelevant. CT scan, bronchoscopy and abdominal ultrasound were of no diagnostic value. Cardiac ultrasound revealed a large left atrial tumor, determining mitral stenosis. The patient underwent surgery, the tumor was excised, the histologic type was myxoma. Three weeks after surgery a right pleural effusion was noticed, this time with high protein content and resolving with non-steroid anti-inflammatory treatment. Pleural effusion never reappeared in the following 6 months. Discussions are made upon the mechanism which determined the pleural effusion in this case.
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