Bi – Atrial Myxoma Presenting As Acute Lower Limb Ischaemia in a Middle Aged Female: A Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Atrial myxoma is a benign tumour of the heart and forms a very small percentage of all cardiac cases. When present, they are usually located within the left atrium and sometime in the right atrium on the interatrial septum. Reports of biatrial myxoma are even more rare. Here, we present an unusual case of a middle aged female who presented with sudden onset pain and swelling in her right lower limb for the past 2 days. She had no history of antecedent illness or any drug history etc. Colour Doppler revealed echogenic material in the superficial femoral artery and popliteal arterywith luminal compromise suggestive of thromboembolism. Cardiac examination revealed a middiastolic murmur across the mitral valve with a very faint tumour plop. Patient’s ECG revealed normal sinus rhythm , right axis deviation and t wave inversions in lateral chest leads. Further workup via tranthoracic echocardiography revealed left atrial enlargement with an evidence of left atrial mass prolapsing through the mitral valve during diastole. LV was of normal size. Further transesophageal echocardiography revealed another mass, roughly 2*1 cm present in the right atrium along with evidence of minimal tricuspid regurgitation. On the basis of these findings, a diagnosis of bi-atrial mass likely myxoma causing acutelower limb ischaemia was made and the patient was referred for urgent surgical excision of the masses
Authors and Affiliations
Singhal S, Kalra G
Keywords
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- EP ID EP374490
- DOI 10.9790/0853-1705052022.
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