title: Right-atrial myxoma clinically mimicking recurrence of rheumatic valve disease long time after mitral valve repair.
abstract: Right atrial myxomas are rare. Its occurrence in a previously operated patient of rheumatic mitral stenosis posed clinical diagnostic challenge. We herein report a case of right atrial myxoma who had undergone mitral valve repair 20 years ago and now presented in congestive heart failure. The tumor was arising from the ostium of the coronary sinus and prolapsed into the right ventricle causing significant right ventricular inflow and outflow obstruction. Urgent repeat cardiac surgery was successfully performed to remove the tumor along with mitral valve replacement. We review the diagnostic and therapeutic problems resulting from this unusual association.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, India. Electronic address: gaurangamajumdar@hotmail.com.
authors.forename: Gauranga
authors.initials: G
authors.lastname: Majumdar
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, India.
authors.forename: Surendra
authors.initials: S
authors.lastname: Agarwal
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, India.
authors.forename: Shantanu
authors.initials: S
authors.lastname: Pande
authors.affiliation: Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, India.
authors.forename: Satyendra
authors.initials: S
authors.lastname: Tewari
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006333:Heart Failure / Q000209:etiology; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D009232:Myxoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D012086:Reoperation; D012214:Rheumatic Heart Disease / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: Cardiac computerized tomography; Mitral valve repair; Myxoma; Right atrium; Right ventricle