Bi-atrial myxomas presenting as recurrent pulmonary emboli in a girl.
A 14-year-old girl whose sole presenting features were symptoms of pulmonary embolism, was found to have bi-atrial myxomas. The diagnosis was made preoperatively, and the patient had a successful outcome following elective surgery. The absence of other features such as systemic embolism, atrioventricular valvular obstruction, fever and constitutional symptoms makes this a most unusual case. Right atrial myxoma should be considered in any patient presenting with pulmonary embolism for which there is no obvious source.
D000293:Adolescent; D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D009232:Myxoma / Q000150:complications* / Q000175:diagnosis; D011655:Pulmonary Embolism / Q000209:etiology*; D012008:Recurrence