Editorial

Myxoma: The Intracardiac Zebra

Authors: Jack P. Chen, MD, FACC, FSCAI, FCCP

Abstract

In this issue, the article “Pulmonary Edema of an Unexpected Cause” depicts a most dramatic presentation of an enormous (presumed) cardiac myxoma, obstructing left atrial outflow.1 Although pathological confirmation was not possible in this case, the overwhelmingly probable diagnosis was atrial myxoma. While the most common cardiac malignancies are metastatic from other sources, myxoma is the most common primary intracardiac tumor.2 The differential diagnosis included intracardiac thrombus, metastatic neoplasm, or large vegetation.

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References

1. Pulmonary edema of an unexpected cause. South Med J. 2008;101:1035–1037.
 
2. Lam KY, Dickens P, Chan AC. Tumors of the heart. A 20-year experience with a review of 12,485 consecutive autopsies. Arch Pathol Lab Med 1993;117:1027–1031.
 
3. Chen JP. Fetal-shaped intracardiac masses. Acute Card Care. In press.
 
4. Devine PJ, Sullenberger LE, Bellin DA, et al. Jugular venous pulse: window into the right heart. South Med J 2007;100:1022–1027.
5. Chen JP. Back to basics: editorial review of “jugular venous pulse: window into the right heart”. South Med J 2007;100:968.
 
6. Rodrigues D, Matthews N, Scoones D, et al. Recurrent cerebral metastasis from a cardiac myxoma: case report and review of literature. Br J Neurosurg 2006;20:318–320.
 
7. O’Brien-Connors M. Biatrial myxoma: rare incidence in cardiac surgery. Can J Cardiovasc Nurs 2004;14:21–23.
 
8. Macarie C, Stoica E, Chioncel O, et al. Recurrent atrial myxoma. Rom J Intern Med 2004;42:625–634.
 
9. Gammie JS, Abrishamchian AR, Griffith BP. Cardiac autotransplantation and radical bi-atrial resection for recurrent atrial myxoma. Ann Thorac Surg 2007;83:1545–1547.
 
10. Garcia-Quintana A, Martin-Lorenzo P, Suarez de Lezo J, et al. [Infected left atrial myxoma]. Rev Esp Cardiol 2005;58:1358–1360.