[Recurring pulmonary artery embolisms and disseminated intravascular coagulation in right atrial myxoma].
A 33 year old woman presented with dyspnea and dizziness. These symptoms had recurred several times during the months preceding. At initial investigation we palpated a tumor in the upper abdomen corresponding to the sonographic finding of a 10 X 10 cm sized cystic tumor in the liver. Because of reduction of fibrinogen, prolonged thrombin time and thrombocytopenia a malignant disease involving the liver and producing pulmonary embolism and disseminated intravascular coagulation was suspected. However, during routine echocardiography a right atrial mass prolapsing in the right ventricle was detected. After normalization of fibrinogen and thrombin-time following a low dose heparin therapy a myxoma sized 6 X 5 cm was removed from the right atrium. The patient did not recover and died 20 days following surgery. At autopsy the liver tumor proved to be a benign cholangioendothelial cyst.
D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D004452:Echocardiography; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D009232:Myxoma / Q000150:complications* / Q000175:diagnosis; D011655:Pulmonary Embolism / Q000209:etiology*; D014463:Ultrasonography
Rezidivierende Lungenarterienembolien und Verbrauchskoagulopathie bei rechtsatrialem Myxom.