J Korean Soc Echocardiogr.  2003 Jun;11(1):42-45.

Right Ventricular Myxoma Prolapsing into Pulmonary Artery with Significant Obstruction

Affiliations
  • 1Divisions of Cardiology and Cardiovascular Surgery, Yonsei Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Obstructive myxoma of the right ventricular outflow tract occurs rarely. A 22-year-old woman presented with a 3-month history of shortness of breath during exertion. Transthoracic echocardiography showed a huge mass in a dilated right ventricle. The mass, which obstructed the right ventricular outflow tract, was attached to the interventricular septum and protruded through the pulmonic valve during systole. The peak and mean systolic pressure gradients across the pulmonic valve were 79.9 and 47.8 mmHg, respectively. At surgery, the origin of the mass was attached to the right ventricular apex on its septal surface. The histopathological findings were characteristic of myxoma. The patient recovered uneventfully.

Keyword

Cardiac myxoma; Right ventricular outflow obstruction

MeSH Terms

Blood Pressure
Dyspnea
Echocardiography
Female
Heart Ventricles
Humans
Myxoma*
Pulmonary Artery*
Systole
Ventricular Outflow Obstruction
Young Adult
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