An incidental calcified right atrial mass.
A 58-year-old man presented to his family physician with a mild cough. A routine chest x-ray revealed a 4 cm 'ring opacity' in the right atrium. A transthoracic echocardiogram revealed a 41 mm x 33 mm mass in the right atrium. The patient underwent urgent cardiac surgery, where a firm to hard 4 cm x 3 cm mass was excised. Pathology revealed an old, largely infarcted and calcified right atrial myxoma. A review of the published literature shows that this case is the first to demonstrate an almost completely infarcted atrial myxoma with only a few clusters of viable cells identified histologically.
Mikhail
Peter
P
Department of Surgery, University Health Network, Toronto, Ontario, Canada.
Silversides
Candice
C
Rao
Vivek
V
Butany
Jagdish
J
D002114:Calcinosis / Q000000981:diagnostic imaging*; D006325:Heart Atria; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D009232:Myxoma / Q000000981:diagnostic imaging* / Q000473:pathology; D011859:Radiography; D014463:Ultrasonography