Right ventricle myxoma: an uncommon occurrence

Area of Science:

• Cardiology
• Oncology
• Radiology

Background:

• Cardiac tumors are often asymptomatic incidental findings, but can manifest with systemic, cardiac, or embolic symptoms.
• Tumor type and location vary between pediatric and adult populations, influencing clinical presentation and management.
• Advanced imaging modalities are crucial for characterizing cardiac masses, assessing hemodynamic impact, and guiding diagnosis.

Observation:

• A case of an atypical right ventricular mass discovered incidentally after a pulmonary embolism (PE) presentation.
• The mass was surgically resected and histopathologically confirmed as a cardiac myxoma.
• The patient is undergoing surveillance for potential recurrence.

Findings:

• Multimodality imaging approaches are essential for accurately diagnosing cardiac tumors, despite potential atypical presentations.
• Surgical resection can be a successful treatment for cardiac myxomas, even when presenting unusually.
• Imaging surveillance is critical for monitoring post-resection outcomes and detecting recurrence.

Implications:

• This case underscores the diagnostic challenges and successful management of cardiac myxomas presenting atypically.
• It emphasizes the critical role of integrated imaging techniques in the comprehensive evaluation of cardiac masses.
• The findings support the use of surgical intervention and ongoing surveillance for improved patient outcomes in cardiac tumor cases.