A polo ball in the right atrium, importance of echocardiographic characteristics of intracardiac myxomas: a case report
Abstract Background Myxomas are the most prevalent type of heart tumors, mainly occurring in the left atrium, with approximately 20% of cases found in the right atrium. Timely diagnosis and appropriate management of myxomas are crucial for favorable outcomes and to minimize complications. Case prese...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-04130-6 |
| _version_ | 1827710842674610176 |
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| author | Mira Hamdan Boutros Alam Antoine Kossaify |
| author_facet | Mira Hamdan Boutros Alam Antoine Kossaify |
| author_sort | Mira Hamdan |
| collection | DOAJ |
| description | Abstract Background Myxomas are the most prevalent type of heart tumors, mainly occurring in the left atrium, with approximately 20% of cases found in the right atrium. Timely diagnosis and appropriate management of myxomas are crucial for favorable outcomes and to minimize complications. Case presentation A 77-year-old Asian male with no significant medical history presented with intermittent trepopnea and palpitations. Physical examination revealed regular heart sounds and no other relevant findings. A transthoracic echocardiogram showed a large, round-shaped, smooth-edged mass with diameter of 86 mm, occupying most of the right atrium. Mild tricuspid flow obstruction and mild left ventricular systolic dysfunction were also observed. Cardiac tomography confirmed the size, smooth edges, and showed microcalcifications of the mass, with no invasion of surrounding tissues. Surgical intervention successfully removed the spheroid mass, leading to the alleviation of symptoms. Histopathology confirmed the myxoma nature of the mass. A comprehensive discussion based on relevant medical literature is provided, with emphasis on echocardiographic characteristics of the mass with relation to potential embolic disease. Conclusion This case shows an atypical presentation of an exceptionally large myxoma in the right atrium, resembling the size of a polo ball, in a patient presenting with supraventricular arrhythmia and trepopnea. Early diagnosis and appropriate management played a vital role in achieving a successful outcome for the patient. |
| first_indexed | 2024-03-10T17:45:33Z |
| format | Article |
| id | doaj.art-04db0cb4e22b46f2aa8b4d0b7f43599b |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-03-10T17:45:33Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-04db0cb4e22b46f2aa8b4d0b7f43599b2023-11-20T09:32:00ZengBMCJournal of Medical Case Reports1752-19472023-09-011711510.1186/s13256-023-04130-6A polo ball in the right atrium, importance of echocardiographic characteristics of intracardiac myxomas: a case reportMira Hamdan0Boutros Alam1Antoine Kossaify2Cardiology Division, Saint Esprit Kaslik University USEK, Hospital Notre Dame des SecoursCardiology Division, Saint Esprit Kaslik University USEK, Hospital Notre Dame des SecoursCardiology Division, Saint Esprit Kaslik University USEK, Hospital Notre Dame des SecoursAbstract Background Myxomas are the most prevalent type of heart tumors, mainly occurring in the left atrium, with approximately 20% of cases found in the right atrium. Timely diagnosis and appropriate management of myxomas are crucial for favorable outcomes and to minimize complications. Case presentation A 77-year-old Asian male with no significant medical history presented with intermittent trepopnea and palpitations. Physical examination revealed regular heart sounds and no other relevant findings. A transthoracic echocardiogram showed a large, round-shaped, smooth-edged mass with diameter of 86 mm, occupying most of the right atrium. Mild tricuspid flow obstruction and mild left ventricular systolic dysfunction were also observed. Cardiac tomography confirmed the size, smooth edges, and showed microcalcifications of the mass, with no invasion of surrounding tissues. Surgical intervention successfully removed the spheroid mass, leading to the alleviation of symptoms. Histopathology confirmed the myxoma nature of the mass. A comprehensive discussion based on relevant medical literature is provided, with emphasis on echocardiographic characteristics of the mass with relation to potential embolic disease. Conclusion This case shows an atypical presentation of an exceptionally large myxoma in the right atrium, resembling the size of a polo ball, in a patient presenting with supraventricular arrhythmia and trepopnea. Early diagnosis and appropriate management played a vital role in achieving a successful outcome for the patient.https://doi.org/10.1186/s13256-023-04130-6EchocardiographyMyxomaRight atriumTrepopneaCase report |
| spellingShingle | Mira Hamdan Boutros Alam Antoine Kossaify A polo ball in the right atrium, importance of echocardiographic characteristics of intracardiac myxomas: a case report Journal of Medical Case Reports Echocardiography Myxoma Right atrium Trepopnea Case report |
| title | A polo ball in the right atrium, importance of echocardiographic characteristics of intracardiac myxomas: a case report |
| title_full | A polo ball in the right atrium, importance of echocardiographic characteristics of intracardiac myxomas: a case report |
| title_fullStr | A polo ball in the right atrium, importance of echocardiographic characteristics of intracardiac myxomas: a case report |
| title_full_unstemmed | A polo ball in the right atrium, importance of echocardiographic characteristics of intracardiac myxomas: a case report |
| title_short | A polo ball in the right atrium, importance of echocardiographic characteristics of intracardiac myxomas: a case report |
| title_sort | polo ball in the right atrium importance of echocardiographic characteristics of intracardiac myxomas a case report |
| topic | Echocardiography Myxoma Right atrium Trepopnea Case report |
| url | https://doi.org/10.1186/s13256-023-04130-6 |
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