Right Atrial Myxoma With Dual Coronary Artery Feeding: A Vascular Surprise

Cardiac myxoma is the most common benign primary cardiac tumor in adults. It accounts for 30% to 50% of all benign neoplasms of the heart.

We present a case of 42-year-old male who presented with fever and constitutional symptoms. Echocardiography revealed a large right atrial mass with extension into the right ventricle across the tricuspid valve. After surgical resection, histopathology revealed the mass to be cardiac myxoma.

Cardiac myxomas can present as constitutional symptoms and one of the causes of pyrexia of unknown origin. Echocardiography is the initial imaging modality of choice, and surgical resection is the definitive treatment.

Cardiac myxomas are one of the rare causes of pyrexia of unknown origin. Surgical resection is the only definitive treatment and has excellent prognosis.