Atrial myxoma- A case report with review of literature

Abstract

Atrial myxoma is the most common primary cardiac neoplasm. It is a tumor of adults, most often seen in women aged 20 to 60 years. Most commonly arise in isolated fashion (90%) but few (10%) can be associated with carney complex (myxoma syndrome) an autosomal dominant disease seen in younger age group. Left sided myxomas present signs of mitral stenosis or insufficiency and right sided tumors with dyspnea, syncope, distension of neck veins is seen. Two dimensional echocardiography, CT, MRI, gated radionuclide blood-pool scan, or cardiac catheterization can all visualize myxomas, but cannot differentiate between other pedunculated tumors or thrombi. It is important to rule out Carney complex because chances of recurrence are much higher than when compared to non syndromic myxomas. Hereby in this case report we discuss a large atrial myxoma in female who presented with breathlessness and chest pain.