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Giant Right Ventricle Myxoma Presenting as Right Heart Failure - a Case Report

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F25%3A10503522" target="_blank" >RIV/00064165:_____/25:10503522 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11110/25:10503522

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=gIzihzapfu" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=gIzihzapfu</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.33678/cor.2025.034" target="_blank" >10.33678/cor.2025.034</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Giant Right Ventricle Myxoma Presenting as Right Heart Failure - a Case Report

  • Original language description

    Introduction: Primary cardiac tumors are generally a very rare condition, with an incidence of only 0.0001% to 0.3% in autopsies. Despite the fact that myxoma is the most common primary heart tumor, fewer than 5% of myxomas, which vary in size, occur in the ventricles. Case report: A 19-year-old patient with an unremarkable medical history presented with a one-month history of exertional dyspnea, fatigue, facial edema, and palpitations. Echocardiography recorded a mass measuring 60 x 70 mm in the right ventricle, spontaneous echo contrast in the right atrium, a maximum blood flow velocity in the pulmonary trunk of 3 m/s, enlargement of right atrium and preserved left ventricle ejection fraction. The patient underwent a resection of the mass with concomitant tricuspid valve replacement with a biological prosthesis under cardiopulmonary bypass. Postoperatively, the condition was complicated by atrioventricular block, and an epicardial electrode and pacemaker were implanted. Histological analysis revealed a cardiac myxoma of diameter 110 x 90 x 50 mm. The follow-up echocardiographic examination three months after surgery documented good function of both the left and right ventricles, with normalization of the right atrial and right ventricle parameters. Discussion and conclusion: Right-sided cardiac tumors can lead to right ventricular outflow tract obstruction, with symptoms of right-sided heart failure. Despite good perioperative outcomes and a low risk of recurrence, early differential diagnosis and early surgical intervention are critical for patients to have an optimistic prognosis.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30201 - Cardiac and Cardiovascular systems

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Cor et Vasa

  • ISSN

    0010-8650

  • e-ISSN

    1803-7712

  • Volume of the periodical

    67

  • Issue of the periodical within the volume

    Suppl. 3

  • Country of publishing house

    CZ - CZECH REPUBLIC

  • Number of pages

    6

  • Pages from-to

    83-88

  • UT code for WoS article

    001570733700020

  • EID of the result in the Scopus database

    2-s2.0-105017976753