Right atrial myxoma with hypervascularity demonstrated by selective coronary angiography.
Cardiac myxoma is the commonest primary cardiac tumor, however, the incidence of right atrial myxoma is very rare. We reported a 71-year-old man with a right atrial myxoma, whose main complaint was fever of unknown origin. Definite diagnosis was confirmed by echocardiography and cineangiocardiography. Venacavogram revealed huge mass which occupied greater part of right atrial cavity. Coronary angiogram revealed the feeding artery arising from left coronary circumflex artery and the sign of hypervascularity. Open heart surgery was performed, and a 4.9 x 4.0 x 3.8 cm tumor was found in the right atrial cavity. Pathological examination showed the findings of myxoma. Postoperative clinical course was uneventful.
Yamamoto
K
K
2nd Department of Internal Medicine, School of Medicine, University of Tokushima, Japan.
Bando
S
S
Shinohara
A
A
Ikefuji
H
H
Nishikado
A
A
Hamai
K
K
Ito
S
S
D000368:Aged; D017023:Coronary Angiography; D006325:Heart Atria; D006338:Heart Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D009232:Myxoma / Q000098:blood supply / Q000000981:diagnostic imaging*