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[A case of right ventricular myxoma]
T Ishikawa1, Y Shimizu, E Kimura
1Osaka City General Hospital, Division of Cardiovascular Surgery, Japan.
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|April 1, 1997
Summary
A rare cardiac myxoma in the right ventricle caused syncopal episodes in a male patient. Surgical excision was successful, highlighting the importance of diagnosing rare right ventricular tumors.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pathology
Background:
- Cardiac myxomas are typically found in the left atrium.
- Right ventricular myxomas are exceptionally rare, presenting diagnostic and surgical challenges.
- Symptoms can be non-specific, including syncope and fatigue.
Observation:
- A 43-year-old male presented with syncope and fatigue.
- Physical examination revealed a significant systolic murmur, and ECG showed supraventricular arrhythmias.
- Echocardiography and CT identified a multi-lobular, pedunculated mass in the right ventricle prolapsing into the pulmonary artery.
Findings:
- Histopathological diagnosis confirmed the mass as a myxoma.
- The tumor was successfully excised via the tricuspid valve under cardiac arrest.
- This case represents a rare instance of right ventricular myxoma.
Implications:
- Early diagnosis and surgical intervention are crucial for managing cardiac myxomas, even in rare locations.
- This case contributes to the limited literature on right ventricular myxomas.
- Further research into the etiology and management of atypical cardiac tumors is warranted.