Korean J Thorac Cardiovasc Surg.  2015 Feb;48(1):67-69. 10.5090/kjtcs.2015.48.1.67.

An Unusual Biatrial Cardiac Myxoma in a Young Patient

Affiliations
  • 1Department of Cardiac Surgery, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran.
  • 2Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran. Bigdelul@mums.ac.ir
  • 3Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran.
  • 4Students Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.
  • 5Department of Cardiology, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran.
  • 6Department of Cardiology, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran.

Abstract

This is a report of a biatrial cardiac myxoma in a young man with a 10-month history of exertional dyspnea and palpitation. The echocardiogram revealed biatrial myxoma prolapsing through the mitral and tricuspid valves during diastole. All cardiac chambers were enlarged and dysfunctional. The electrocardiogram revealed a rapid ventricular response with atrial flutter rhythm. The masses were resected and diagnosed as myxoma by a histological examination. The follow-up echocardiogram revealed significant improvement in ventricular function and reduction in the cardiac chambers' volume. There was no evidence of myxoma recurrence. The most probable cause of the patient's heart failure was considered to be tachycardia-induced cardiomyopathy.

Keyword

Cardiomyopathy; Echocardiography; Myxoma; Regurgitation

MeSH Terms

Atrial Flutter
Cardiomyopathies
Diastole
Dyspnea
Echocardiography
Electrocardiography
Follow-Up Studies
Heart Failure
Humans
Myxoma*
Recurrence
Tricuspid Valve
Ventricular Function
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