An asymptomatic right ventricular myxoma case without right ventricular outflow tract obstruction or tricuspid valve regurgitation
Abstract
24-year-old male patient, who had no complaints before, applied to our hospital for general tests to get a medical report due to his job application. A murmur was detected by the physician in the internal medicine clinic as a finding of listening and was referred to the cardiology clinic. The oval, well-circumscribed lobulated echogenic mass appeared in right ventricular in the research performed in the cardiology clinic and it was transferred to our clinic for emergency surgery. The right ventricular mass did not move towards either the pulmonary valve or the tricuspid valve during systole and diastole. During the operation, it was determined that the tumor originated from the right ventricular free wall. Right ventricular mass excision was performed with right atriotomy under cardiopulmonary bypass.
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1. Assaf Y, Nasser M, Jneid H, Ott D. Pulmonary Embolism Following Incomplete Surgical Resection of a Right Ventricular Myxoma: A Case Report and Review of the Literature. Cardiol Ther. 2018;7(1):107-17. DOI: https://doi.org/10.1007/s40119-018-0109-y
2. Cho SH, Shim MS, Kim WS. The right ventricular myxoma which attached to the tricuspid valve: Sliding tricuspid valvuloplasty. Korean J Thorac Cardiovasc Surg. 2015;48(3):228-30. DOI: . https://doi.org/10.5090/kjtcs.2015.48.3.228
3. Huang SC, Lee ML, Chen SJ, Wu MZ, Chang CI. Pulmonary artery myxoma as a rare cause of dyspnea for a young female patient. J Thorac Cardiovasc Surg. 2006;131(5):1179-80. DOI: https://doi.org/10.1016/j.jtcvs.2005.12.052
4. Gribaa R, Slim M, Kortas C, Kacem S, Ben Salem H, Ouali S, Neffati E, Remadi F, Boughzela E. Right ventricular myxoma obstructing the right ventricular outflow tract: a case report. J Med Case Rep [Internet]. 2014 [citado 28 Ene 2021];8:435. Disponible en: https://doi.org/10.1186/1752-1947-8-435
5. Burke A, Tavora F. The 2015 WHO Classification of Tumors of the Heart and Pericardium. J Thorac Oncol. 2016;11(4):441-52. DOI: https://doi.org/10.1016/j.jtho.2015.11.009
6. Carney JA, Gordon H, Carpenter PC, Shenoy BV, Go VL. The complex of myxomas, spotty pigmentation, and endocrine overactivity. Medicine (Baltimore). 1985;64(4):270-83. DOI: https://doi.org/10.1097/00005792-198507000-00007
7. Chen C, Chu H, Tso J, Luthringer DJ, Siegel R. Asymptomatic recurrence of right ventricular myxoma after excision of four-chamber myxoma. CASE (Phila). 2017;1(5):195-7. DOI: https://doi.org/10.1016/j.case.2017.07.002
8. Karagounis A, Sarsam M. Myxoma of the free wall of the right ventricle: a case report. J Card Surg. 2005;20(1):73-6. DOI: https://doi.org/10.1111/j.0886-0440.2005.05006.x
9. Hirota J, Akiyama K, Taniyasu N, Maisawa K, Kobayashi Y, Sakamoto N, et al. Injury to the tricuspid valve and membranous atrioventricular septum caused by huge calcified right ventricular myxoma: Report of a case. Circ J. 2004;68(8):799-801. DOI: https://doi.org/10.1253/circj.68.799
10. Elderkin RA, Radford DJ. Primary cardiac tumours in a paediatric population. J Paediatr Child Health. 2002;38(2):173-7. DOI: https://doi.org/10.1046/j.1440-1754.2002.00734.x
11. Lacey BW, Lin A. Radiologic evaluation of right ventricular outflow tract myxomas. Tex Heart Inst J. 2013;40(1):68-70.
12. Garatti A, Nano G, Canziani A, Gagliardotto P, Mossuto E, Frigiola A, et al. Surgical excision of cardiac myxomas: Twenty years experience at a single institution. Ann Thorac Surg. 2012;93(3):825-31. DOI: https://doi.org/10.1016/j.athoracsur.2011.11.009
13. Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore). 2001;80(3):159-72. DOI: https://doi.org/10.1097/00005792-200105000-00002
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