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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11110/25:10503522

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

Cor et Vasa

ISSN

0010-8650

e-ISSN

1803-7712

Svazek periodika

67

Číslo periodika v rámci svazku

Suppl. 3

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

6

Strana od-do

83-88

Kód UT WoS článku

001570733700020

EID výsledku v databázi Scopus

2-s2.0-105017976753