Fragmentation of a Right Atrial Myxoma Presenting as a Pulmonary Embolism

Aspergillus infection in pulmonary cavitating lesions with right atrial myxoma

“…Since its first description in 1931, pulmonary embolism due to right atrial myxoma has been described in a few case reports, some of them postmortem or with postoperative mortality. [1][2][3][4] Persistent pulmonary hypertension due to pulmonary embolism in a patient with right atrial myxoma has been reported. 5 Although, transesophageal echocardiography is a useful and safe imaging modality, a rare case of fatal pulmonary embolism of the right atrial mass during transesophageal echocardiography has been reported.…”

Primary Myxoma of the Pulmonary Artery

“…Myxomas are rarely localized in the right heart originating from the right atrium or from the tricuspid valve. Myxomas originating from the right ventricle may cause obstruction of the right ventricular outflow tract (RVOT) and pulmonary main trunk; they can cause complications such as syncope, pulmonary embolism, and sudden death 2‐4 . Since myxomas are friable, they can cause multiple pulmonary emboli, are frequently mistaken for a septic embolus, can lead to severe pulmonary hypertension, and may result in aneurysms of the pulmonary arteries 5 …”

A Case of Left Atrial Myxoma Associated with Atrial Septal Defect

“…The clinical manifestations depend on their size and location; dyspnea is the most common manifestation in up to 80% of patients. The patients can also present with other cardiac symptoms such as chest pain, palpitation, and syncope 6–9 …”

“…More importantly, myxomas are quite infrequently associated with congenital cardiac anomalies such as atrial septal defect 3–5 . Cardiac myxoma can produce a wide spectrum of systemic findings including systemic and pulmonary embolism, and intracardiac obstruction 6–9 . The neurological consequences of systemic embolization include transient ischemic attacks, stroke, seizures, and syncope 9 .…”