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Right atrial myxoma excision with pulmonary thrombectomy
Ananthanarayanan Chandrasekaran1, Karthikaa Mayilsamy1, Naveena Muthukumaran1
1Department of CTVS, PSG IMSR, Avinashi RoadTamil Nadu, Peelamedu, Coimbatore, 641 004 India.
Indian Journal of Thoracic and Cardiovascular Surgery
|April 18, 2025
Summary
Cardiac myxomas, the most common heart tumors, can cause obstruction or embolization. This case highlights successful surgical removal of multiple right atrial myxomas and pulmonary artery clot in a young patient.
Area of Science:
- Cardiology
- Cardiac Surgery
- Oncology
Background:
- Myxomas are the most frequent primary cardiac tumors.
- Tumor characteristics (smooth/large vs. villous/friable) dictate clinical presentation.
- Immediate surgical intervention is crucial due to risks of obstruction and embolization.
Observation:
- A young female presented with multiple right atrial myxomas.
- The patient experienced embolic occlusion of the right pulmonary artery.
- The myxomas were villous and friable, leading to embolization.
Findings:
- Successful surgical excision of multiple right atrial myxomas was performed.
- Pulmonary thrombectomy successfully removed the embolic occlusion.
- The patient had a favorable outcome following the combined surgical approach.
Implications:
- This case underscores the importance of prompt surgical management for cardiac myxomas.
- Early diagnosis and intervention can prevent severe complications like pulmonary embolism.
- Aggressive surgical treatment is effective even in complex cases involving multiple tumors and significant embolic burden.
