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European Journal of Echocardiography Advance Access published online on March 15, 2008

European Journal of Echocardiography, doi:10.1093/ejechocard/jen028
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Right atrial myxoma: echocardiographic appearance

Alexandros P. Patrianakos1,*, Frangiskos I. Parthenakis1, Eva Nyktari1, George E. Kochiadakis1, Anastasios V. Koutsopoulos2 and Panos E. Vardas1

1 Department of Cardiology, Heraklion University Hospital, PO Box 1352 Stavrakia, Heraklion, Crete, Greece
2 Pathologoanatomic Department, Heraklion University Hospital, Crete, Greece

* Corresponding author. Tel: +30 2810 392706; fax: +30 2810 542111. E-mail address: apatrianakos{at}yahoo.gr


   Abstract

A 67-year-old asymptomatic male was admitted for evaluation of his arterial hypertension. The routine echocardiographic study revealed a large tumour in the dilated right atrium. The mass appeared to arise from the posterior wall of the right atrium. After infusion of a contrast agent, the mass appeared to fill with the contrast agent, ruling out the possibility of the mass being a clot.

Transesophageal study revealed a round mass arising from the posterior right atrial wall just adjacent to the extrusion of the superior vena cava. The patient subsequently underwent cardiac surgery and a cardiac tumour was excised that proved to be a cardiac myxoma. In this case we present echocardiographic images and the macro- and microscopic view of the right atrial myxoma.

Keywords: Echocardiography; Transesophageal; Cardiac myxoma


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