Multifocal cardiac myxoma: report of a rare clinical entity

Area of Science:

• Cardiology
• Cardiac Surgery
• Oncology

Background:

• Primary tumors of the heart and pericardium are uncommon, with cardiac myxomas constituting the majority of these rare neoplasms.
• Multiple myxomas are typically found in both atria (biatrial location).

Observation:

• A rare clinical case is presented involving a patient with four cardiac myxomas.
• These tumors were distributed across three of the heart's four chambers, uniquely involving both ventricles.

Findings:

• Transthoracic echocardiography was instrumental in accurately identifying the location and extent of the four cardiac tumors.
• Surgical intervention was successfully performed, leading to the complete removal of all identified myxomas.

Implications:

• This case expands the known spectrum of cardiac myxoma presentation, particularly regarding multiplicity and ventricular involvement.
• Highlights the importance of comprehensive echocardiographic evaluation for diagnosing complex cardiac tumor cases.
• Demonstrates the efficacy of surgical resection in managing extensive cardiac myxoma burdens.