Heart 1997;78:512-514 ( November )
Case report
Right atrial myxoma mistaken for recurrent pulmonary
thromboembolism
a Department of
Medicine, Timaru Hospital, Timaru, New Zealand, b Department of Pathology
Correspondence to: Dr Jardine.
Accepted for publication 9 July 1997
A 69 year old man was admitted for investigation of right sided
pleuritic chest pain and dyspnoea, both of which began suddenly four
days before admission. Acute pulmonary embolism was diagnosed. Six
months after discharge while on warfarin he died. Necropsy found a
50 mm diameter myxoid tumour arising on the right atrial side of the
interatrial septum. This lesion may have been discovered earlier by
echocardiography although there were no clear indications for
this investigation. Presentation was that of recurrent pulmonary embolism with no obvious source or cause of thrombosis. Patients who
are thought to have idiopathic pulmonary embolism should undergo early
echocardiography to exclude the rare but treatable diseases of the
right heart that may be responsible
© 1997 by Heart
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