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A Biatrial Myxoma with Triple Ripples
1Department of Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Journal of Cardiovascular Echography
|April 10, 2018
Summary
A rare biatrial myxoma caused severe tricuspid valve regurgitation, atrial fibrillation, and a stroke. This case highlights the complex cardiac and neurological complications of cardiac myxoma.
Area of Science:
- Cardiovascular Medicine
- Oncology
- Neurology
Background:
- Cardiac myxomas are typically benign tumors with significant embolic potential.
- Interatrial septum myxomas can present with diverse clinical manifestations.
Observation:
- A patient presented with a biatrial myxoma originating from the interatrial septum.
- The myxoma led to severe tricuspid valve regurgitation and atrial fibrillation.
- The patient also experienced a cardioembolic stroke in the left parietal lobe.
Findings:
- The case illustrates a rare instance of biatrial myxoma.
- This specific myxoma caused a triad of complications: tricuspid regurgitation, atrial fibrillation, and embolic stroke.
- The term "triple ripples" is used to describe this complex presentation.
Implications:
- Highlights the critical need for early diagnosis and surgical management of cardiac myxomas.
- Underscores the potential for significant systemic embolization, including cerebrovascular events.
- Emphasizes the importance of considering cardiac tumors in patients with unexplained neurological deficits and cardiac abnormalities.
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