[Large myxoma of the right atrium].
We describe the case of a patient in whom two-dimensional echocardiography, performed due to dissociated cholestasis and jugular ingurgitation, demonstrated a huge mass in the right atrium which prolapsed in the right ventricle. Intraoperative transesophageal echocardiography was performed to further assess the dimension and characteristics of the mass and to discard the involvement of associated structures. The patient underwent a cardiopulmonary bypass surgery and the mass (12 * 5 cm) was removed without complications. Histologic examination confirmed the diagnosis of myxoma. This case is of interest because of the size of the mass, and is centered in the diagnosis following clinical suspicion due to the pattern of dissociated cholestasis and jugular ingurgitation leading to surgery to prevent the potential embolic complications.
Servicio de CardiologíaUnidad de Hepatitis, Servicio de Medicina Interna, Malaga. minolola@hotmail.com
M F
MF
Jiménez-Navarro
J
J
Carlos Gavilán
J
J
María Melero
I
I
Rodríguez Bailón
F
F
Bermúdez
C
C
Porras
E
E
Olalla
E
E
de Teresa
D006325:Heart Atria / Q000000981:diagnostic imaging; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000000981:diagnostic imaging* / Q000601:surgery; D014463:Ultrasonography