THE VANISHING TUMOR - A RIGHT ATRIAL-MYXOMA WITH UNUSUAL ASPECTS
CARDIOLOGY IN THE ELDERLY(1995)
Abstract
We describe an 80-year-old woman who presented with acute pulmonary edema. Laboratory evaluation revealed an increased erythrocyte sedimentation rate, anemia, and hyperglobulinemia. Revision of a transthoracic two-dimensional echocardiogram performed several months before revealed a right atrial myxoma, which was not present on a repeat study during the present hospital admission. Radionuclide pulmonary perfusion showed multiple small defects, an observation compatible with tumor embolization. Right atrial myxoma is a rare condition, especially in the elderly. Nevertheless, atypical presentations of pulmonary emboli, particularly in conjunction with unexplained systemic manifestations, should focus attention on the diagnostic possibility of a right atrial myxoma.
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Key words
RIGHT ATRIAL MYXOMA,PULMONARY EMBOLI,MAGNETIC RESONANCE IMAGING,ECHOCARDIOGRAPHY,TRANSESOPHAGEAL ECHOCARDIOGRAPHY
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