Cricket ball in the right heart: A case report of right atrial myxoma

Abstract

IntroductionMyxomas are the most common type of cardiac benign tumors and most of them are located in the left atrium, followed by the right atrium. The majority of Myxomas is located in the left atrium and has a variable clinical presentation. Myxomas affect patients within a wide age range (15–80 years), and the average age is approximately 50 years. There is a female predominance in the sporadic form. Myxomas are usually pedunculated, solitary, and sporadic but may be associated with familial autosomal dominant syndromes.Case presentationWe report a 38-year-old female presented with large myxoma in the right atrium and atypical presentation and successfully underwent surgical excision of right atrial myxoma. The patient was asymptomatic on 6 months follow up.ConclusionCardiac myxomas are the most frequent finding among primary cardiac tumors. Clinical manifestations depend on the involvement in valvular obstruction, distant arterial embolisms, or nonspecific, constitutional symptoms. Transoesophageal Echocardiography is the cornerstone for diagnosis of atrial myxoma. Cardiac myxomas should be managed with surgical resection.

Acute Coronary Syndrome or Right Atrial Cardiac Myxoma? An Atypical Presentation

“…The cardiovascular examination did not show any clinically detectable murmurs, similar to our case. A transesophageal echocardiogram confirmed the presence of a 4 cm right atrial mass attached to the interatrial septum that was prolapsing through the tricuspid valve into the right ventricle [ 6 ]. In our case, the mass was slightly larger, but with a similar location and a similar presentation with chest pain.…”