Cardiac myxoma. A review.

Area of Science:

• Cardiology
• Oncology

Background:

• Cardiac myxoma is the most frequent primary cardiac neoplasm, representing 50% of all primary heart tumors.
• While histologically benign, cardiac myxomas can display malignant-like behavior.
• Most myxomas occur in the left atrium, often attached to the foramen ovale.

Observation:

• Cardiac myxomas commonly manifest as a triad of obstructive, embolic, and constitutional symptoms.
• These symptoms can mimic more common systemic diseases, complicating diagnosis.
• This report reviews 9 cases, highlighting four with unusual presentations.

Findings:

• Non-invasive cardiac imaging is vital for accurate diagnosis and differentiation from other conditions.
• Echocardiography demonstrates high accuracy in diagnosing cardiac myxoma.
• Echocardiography is the preferred imaging modality for suspected cardiac myxoma.

Implications:

• Prompt diagnosis of cardiac myxoma is essential for effective patient management.
• Echocardiography plays a pivotal role in the diagnostic and management pathway.
• Understanding the diverse presentations of cardiac myxoma improves clinical recognition and timely intervention.