Vojnosanitetski pregled 2013 Volume 70, Issue 6, Pages: 609-611
https://doi.org/10.2298/VSP1306609O
Full text (
344 KB)
Cited by
Right ventricular myxoma: A case report
Obrenović-Kirćanski Biljana (Faculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic of Cardiology, Belgrade)
Mikić Aleksandar (Faculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic of Cardiac Surgery, Belgrade)
Velinović Miloš (Faculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic of Cardiac Surgery, Belgrade)
Božić Vesna (Clinical Center of Serbia, Department for Pathohistology, Belgrade)
Kovačević-Kostić Nataša (Clinical Center of Serbia, Center for Anaesthesia, Belgrade)
Karan Radmila (Clinical Center of Serbia, Center for Anaesthesia, Belgrade)
Parapid Biljana 
(Clinical Center of Serbia, Clinic of Cardiology, Belgrade)
Đukić Petar (Faculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic of Cardiac Surgery, Belgrade)
Savić Dragutin (Clinical Center of Serbia, Pacemaker Center, Belgrade)
Vraneš Mile (Faculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic of Cardiac Surgery, Belgrade)
Introduction. Myxomas arising from the right ventricle are extremely rare.
Case report. We presented a 71-year-old patient with worsening symptoms of
the exertional dyspnea and atypical chest pains lasting 6 months. A
transthoracic and transesophageal echocardiogram revealed a large, 2.6 x 2.2
cm, ovoid, well-circumscribed, echogenic mass in the right ventricle outflow
tract attached by small pedicle, partly obstructing the right ventricular
outflow tract and protruding through the pulmonic valve during systole. The
tumor was completely removed with the stalk and 5 mm of the surrounding
tissue. The histopathological findings confirmed the diagnosis of myxoma.
Conclusion. This case illustrates the usefulness of echocardiography both in
diagnosis of patients with atypical symptoms without family history and
associated syndromes (like Carney’s complex), and in surgical approach
planning. It also stresses the importance of surgical excision of tumor as
soon as possible following the diagnosis to prevent the complications such
are: valvular obstruction, pulmonary embolization and syncopes.
Keywords: heart neoplasms, myxoma, diagnosis, cardiac surgical procedures, echocardiography, transesophageal, treatment outcome