Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Myxoma of the Right Atrium: Report of a Case and Review of the Literature

Myxoma of the Right Atrium: Report of a Case and Review of the Literature Abstract UNTIL RECENTLY, the finding of a myxoma in the atrium at autopsy would have only stimulated academic discussion. At present it generates remorse, since it represents a lesion of a curable disease. The purpose of this paper is to present detailed preoperative and postoperative clinical and hemodynamic findings in a patient with a myxoma of the right atrium and to review the pertinent English literature. Report of a Case First Admission. —A 51-year-old white woman (46-96-36) was admitted to the University of Iowa Hospitals in April 1962, with ascites and edema for which she had been treated with diuretics since 1959. The gradual increase in ascites, dyspnea, and orthopnea had become incapacitating in the last three weeks. Severe weakness, anorexia, weight loss, profuse perspiration, and frequent fever and chills had been present since December 1961, and in February 1962, she was treated for "hepatitis." In 1949 she was treated for References 1. Prichard, R.W.: Tumors of the Heart: Review of the Subject and Report of One Hundred and Fifty Cases , AMA Arch Pathol 51:98, 1951. 2. Krcilkova, M., et al: The Successful Removal of a Tumor From the Right Atrium Under Hypothemia , Thorax 13:173, 1958.Crossref 3. Case Records, Massachusetts General Hospital , New Eng J Med 268:1006, 1963.Crossref 4. Buenger, R.E.; Oglesby, P.; and Fell, E.: Calcified Polyp of the Heart , Radiology 67:531, 1956.Crossref 5. Cope, S.: Fibrosarcoma of the Right Auricle , Brit Med J 1:987, 1957.Crossref 6. Scannell, J.G., and Grillo, H.C.: Primary Tumors of the Heart , J Thorac Surg 35:23, 1958. 7. Nichols, J., and Hennigar, G.: A Case of Bilateral Multicentric Cardiac Myxoma , AMA Arch Pathol 67:24, 1959. 8. Coates, E.O., Jr., and Drake, E.H.: Myxoma of the Right Atrium With Variable Right to Left Shunt , New Eng J Med 259:165, 1958.Crossref 9. Ashman, H.; Zoroff, L.I.; and Barnofsky, I.: Right Atrial Myxoma , Amer J Med 28:487, 1960.Crossref 10. Levinson, J., and Kincaid, O.: Myxoma of Right Atrium Associated With Polycythemia , New Eng J Med 264:1187, 1961.Crossref 11. Bahnson, H.T., and Neuman, E.V.: Diagnosis and Surgical Removal of Intracavitary Myxoma of the Right Atrium , Johns Hopkins Hosp Bull 93: 150, 1953. 12. Padhi, R. K.; Kelly, H.G.; and Lynn, R.B.: Intra-atrial Myxoma , Canad J Surg 2:414, 1959. 13. Brandfonbrener, M., et al: Right Atrial Myxoma Successfully Removed , Arch Intern Med 111: 814-818 ( (June) ) 1963.Crossref 14. Ellis, H.F.; Mankin, E., Jr.; and Burchell, H.B.: Myxoma of Right Atrium: Successful Surgical Treatment in Two Cases , Med Clin N Amer 42: 1087, 1958. 15. Barlow, J.; Fuller, D.; and Denny, M.: A Case of Right Atrial Myxoma With Special Reference to an Unusual Chonocardiographic Finding , Brit Heart J 24:120, 1962.Crossref 16. Colley, D.A.; Moriss, G.C.; and Attar, S.: Cardiac Myxoma , Arch Surg 78:410, 1959.Crossref 17. Taber, R.E., and Lam, C.: Diagnosis and Surgical Treatment of Intracardiac Myxoma and Rhabdomyoma , J Thorac Cardiov Surg 40:337, 1960. 18. Morrisey, J.F.; Capetti, F.R.; and Ya, P.N.: Right Atrial Myxoma: Report of Two Cases and Review , Amer Heart J 66:4, 1963.Crossref 19. Catt, K., et al: Myxoma of the Right Atrium , Brit Heart J 24:525, 1962.Crossref 20. Wight, R., Jr.; McCall, M.; and Wenger, N.K.: Primary Atrial Tumor: Evaluation of Clinical Findings in Ten Cases and Review of Literature , Amer J Cardiol 11:790-797 ( (June) ) 1963.Crossref 21. Strouse, S.: Primary Benign Tumor of the Heart of 33 Years' Duration , Arch Intern Med 62: 401, 1938.Crossref 22. Emanuel, R.W., and Lloyd, W.E.: Right Atrial Myxoma for Constrictive Pericarditis , Brit Heart J 24:796, 1962.Crossref 23. Kendall, D., and Symonds, B.: Epileptiform Attacks Due to Myxoma of the Right Auricle , Brit Heart J 14:139, 1952.Crossref 24. Paquet, E.: The Diagnostic Approach to Auricular Myxoma , Canad Med Assoc J 24:121, 1956. 25. Heath, D., and Mackinson, J.: Pulmonary Hypertension Due to Myxoma of the Right Atrium , Amer Heart J 68:227, 1964.Crossref 26. Friedberg, C.K.: Diseases of the Heart , Philadelphia: W. B. Saunders Co., 1956, p 153. 27. Belle, M.S.: Right Atrial Myxoma , Circulation 19:910, 1959.Crossref 28. Carter, B.; Lowe, K.G.; and Hill, I.G.W.: Cardiac Myxomata and Aortic Saddle Embolism , Brit Heart J 22:502, 1960.Crossref 29. Sannerstedt, R., et al: Right Atrial Myxoma: Report of a Case and Review of the Literature , Amer Heart J 64:243, 1962.Crossref 30. Siggilino, J.J., et al: Myxoma of the Right Atrium With Polycythemia , Arch Intern Med 111: 96, 1963.Crossref 31. Adams, C.W., et al: Intracardiac Myxomas and Thrombi , J Cardiol 7:176, 1960.Crossref 32. Holdswade, G.R., and Steinberg, I.: Right Atrial Myxoma Complicated by a Thrombus , JAMA 193:306-308 ( (July 26) ) 1965.Crossref 33. Lyons, H.A., et al: Right Atrial Myxoma , Amer J Med 25:321, 1958.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Myxoma of the Right Atrium: Report of a Case and Review of the Literature

Loading next page...
 
/lp/american-medical-association/myxoma-of-the-right-atrium-report-of-a-case-and-review-of-the-oQVj0ji46N
Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1967.00300030072014
Publisher site
See Article on Publisher Site

Abstract

Abstract UNTIL RECENTLY, the finding of a myxoma in the atrium at autopsy would have only stimulated academic discussion. At present it generates remorse, since it represents a lesion of a curable disease. The purpose of this paper is to present detailed preoperative and postoperative clinical and hemodynamic findings in a patient with a myxoma of the right atrium and to review the pertinent English literature. Report of a Case First Admission. —A 51-year-old white woman (46-96-36) was admitted to the University of Iowa Hospitals in April 1962, with ascites and edema for which she had been treated with diuretics since 1959. The gradual increase in ascites, dyspnea, and orthopnea had become incapacitating in the last three weeks. Severe weakness, anorexia, weight loss, profuse perspiration, and frequent fever and chills had been present since December 1961, and in February 1962, she was treated for "hepatitis." In 1949 she was treated for References 1. Prichard, R.W.: Tumors of the Heart: Review of the Subject and Report of One Hundred and Fifty Cases , AMA Arch Pathol 51:98, 1951. 2. Krcilkova, M., et al: The Successful Removal of a Tumor From the Right Atrium Under Hypothemia , Thorax 13:173, 1958.Crossref 3. Case Records, Massachusetts General Hospital , New Eng J Med 268:1006, 1963.Crossref 4. Buenger, R.E.; Oglesby, P.; and Fell, E.: Calcified Polyp of the Heart , Radiology 67:531, 1956.Crossref 5. Cope, S.: Fibrosarcoma of the Right Auricle , Brit Med J 1:987, 1957.Crossref 6. Scannell, J.G., and Grillo, H.C.: Primary Tumors of the Heart , J Thorac Surg 35:23, 1958. 7. Nichols, J., and Hennigar, G.: A Case of Bilateral Multicentric Cardiac Myxoma , AMA Arch Pathol 67:24, 1959. 8. Coates, E.O., Jr., and Drake, E.H.: Myxoma of the Right Atrium With Variable Right to Left Shunt , New Eng J Med 259:165, 1958.Crossref 9. Ashman, H.; Zoroff, L.I.; and Barnofsky, I.: Right Atrial Myxoma , Amer J Med 28:487, 1960.Crossref 10. Levinson, J., and Kincaid, O.: Myxoma of Right Atrium Associated With Polycythemia , New Eng J Med 264:1187, 1961.Crossref 11. Bahnson, H.T., and Neuman, E.V.: Diagnosis and Surgical Removal of Intracavitary Myxoma of the Right Atrium , Johns Hopkins Hosp Bull 93: 150, 1953. 12. Padhi, R. K.; Kelly, H.G.; and Lynn, R.B.: Intra-atrial Myxoma , Canad J Surg 2:414, 1959. 13. Brandfonbrener, M., et al: Right Atrial Myxoma Successfully Removed , Arch Intern Med 111: 814-818 ( (June) ) 1963.Crossref 14. Ellis, H.F.; Mankin, E., Jr.; and Burchell, H.B.: Myxoma of Right Atrium: Successful Surgical Treatment in Two Cases , Med Clin N Amer 42: 1087, 1958. 15. Barlow, J.; Fuller, D.; and Denny, M.: A Case of Right Atrial Myxoma With Special Reference to an Unusual Chonocardiographic Finding , Brit Heart J 24:120, 1962.Crossref 16. Colley, D.A.; Moriss, G.C.; and Attar, S.: Cardiac Myxoma , Arch Surg 78:410, 1959.Crossref 17. Taber, R.E., and Lam, C.: Diagnosis and Surgical Treatment of Intracardiac Myxoma and Rhabdomyoma , J Thorac Cardiov Surg 40:337, 1960. 18. Morrisey, J.F.; Capetti, F.R.; and Ya, P.N.: Right Atrial Myxoma: Report of Two Cases and Review , Amer Heart J 66:4, 1963.Crossref 19. Catt, K., et al: Myxoma of the Right Atrium , Brit Heart J 24:525, 1962.Crossref 20. Wight, R., Jr.; McCall, M.; and Wenger, N.K.: Primary Atrial Tumor: Evaluation of Clinical Findings in Ten Cases and Review of Literature , Amer J Cardiol 11:790-797 ( (June) ) 1963.Crossref 21. Strouse, S.: Primary Benign Tumor of the Heart of 33 Years' Duration , Arch Intern Med 62: 401, 1938.Crossref 22. Emanuel, R.W., and Lloyd, W.E.: Right Atrial Myxoma for Constrictive Pericarditis , Brit Heart J 24:796, 1962.Crossref 23. Kendall, D., and Symonds, B.: Epileptiform Attacks Due to Myxoma of the Right Auricle , Brit Heart J 14:139, 1952.Crossref 24. Paquet, E.: The Diagnostic Approach to Auricular Myxoma , Canad Med Assoc J 24:121, 1956. 25. Heath, D., and Mackinson, J.: Pulmonary Hypertension Due to Myxoma of the Right Atrium , Amer Heart J 68:227, 1964.Crossref 26. Friedberg, C.K.: Diseases of the Heart , Philadelphia: W. B. Saunders Co., 1956, p 153. 27. Belle, M.S.: Right Atrial Myxoma , Circulation 19:910, 1959.Crossref 28. Carter, B.; Lowe, K.G.; and Hill, I.G.W.: Cardiac Myxomata and Aortic Saddle Embolism , Brit Heart J 22:502, 1960.Crossref 29. Sannerstedt, R., et al: Right Atrial Myxoma: Report of a Case and Review of the Literature , Amer Heart J 64:243, 1962.Crossref 30. Siggilino, J.J., et al: Myxoma of the Right Atrium With Polycythemia , Arch Intern Med 111: 96, 1963.Crossref 31. Adams, C.W., et al: Intracardiac Myxomas and Thrombi , J Cardiol 7:176, 1960.Crossref 32. Holdswade, G.R., and Steinberg, I.: Right Atrial Myxoma Complicated by a Thrombus , JAMA 193:306-308 ( (July 26) ) 1965.Crossref 33. Lyons, H.A., et al: Right Atrial Myxoma , Amer J Med 25:321, 1958.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 1, 1967

References