title: Budd-Chiari syndrome and portal vein thrombosis due to right atrial myxoma.
abstract: Budd-Chiari syndrome is a rare disorder characterized by hepatic venous outflow obstruction. Atrial myxomas account for 35% to 50% of primary cardiac tumors and are usually located in the left atrium. We describe a patient who presented with hepatic inferior vena cava and portal vein thrombosis due to a large myxoma of the right atrium. After the successful removal of the tumor, ascites resolved completely. We conclude that right atrial myxoma is a rare but potentially curable cause of Budd-Chiari syndrome.
authors.affiliation: Department of Gastroenterology, 251 Hellenic Air Force and Veterans General Hospital, Athens, Greece. gkanagnostopoulos@yahoo.gr
authors.forename: George K
authors.initials: GK
authors.lastname: Anagnostopoulos
authors.forename: George
authors.initials: G
authors.lastname: Margantinis
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Kostopoulos
authors.forename: Glyceria
authors.initials: G
authors.lastname: Papadopoulou
authors.forename: Athanassios
authors.initials: A
authors.lastname: Roulias
authors.forename: George
authors.initials: G
authors.lastname: Sakorafas
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Liassis
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001201:Ascites / Q000209:etiology; D006502:Budd-Chiari Syndrome / Q000209:etiology*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000473:pathology*; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006493:Heparin / Q000627:therapeutic use; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011169:Portal Vein / Q000473:pathology*; D014682:Vena Cava, Inferior / Q000473:pathology*; D020246:Venous Thrombosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000925:Anticoagulants; D006493:Heparin