Untreated Right Ventricle Myxoma with Pericardial Effusion in Young Men: A Case Report
DOI:
https://doi.org/10.33096/gmj.v5i3.139Kata Kunci:
myxoma, pericardial effusion, pericardial tappingAbstrak
Myxomas are benign cardiac tumors that are mostly found in the left atrium. We present a case of a 20-year-old male patient who presented with worsening dyspnea and signs of right heart failure. The echocardiography shows an untreated giant intracardiac mass in a rare place in the right ventricle, obstructing the blood flow, and massive pericardial effusion. We do a pericardiocentesis first to manage the pericardial effusion. Pericardiocentesis was done in different normal locations due to ascites permagna. Nevertheless, our patient needs emergency surgical excision as soon as possible to prevent sudden death caused by obstruction, embolic, and other complications.
Referensi
Alan FMJ, Andres PEJ, Antonio CNJ. Acute heart failure due to a giant left atrial myxoma: a case report. Eur Heart J Case Rep. 2022 Aug 4;6(8).
Abdelwahab Alassal M, Altargami N, Ahmed H, Ibrahim S, Nemlander A, Aldahmashi M, et al. An Unusual Presentation of Cardiac Myxoma; a Case Report and Review of Literature. American Journal of Cardiovascular and Thoracic Surgery. 2019;4(2):1–7.
Lu C, Yang P, Hu J. Giant right ventricular myxoma presenting as right heart failure with systemic congestion: a rare case report. BMC Surg. 2021 Dec 29;21(1):64.
Islam AKMM. Cardiac myxomas: A narrative review. World J Cardiol. 2022 Apr 26;14(4):206–19.
Karabinis A, Samanidis G, Khoury M, Stavridis G, Perreas K. Clinical presentation and treatment of cardiac myxoma in 153 patients. Medicine. 2018 Sep;97(37):e12397.
Liu Y, Wang J, Guo L, Ping L. Risk factors of embolism for the cardiac myxoma patients: a systematic review and metanalysis. BMC Cardiovasc Disord. 2020 Dec 25;20(1):348.
D’Anna C, Villani A, Ammirati A, Francalanci P, Ragni L, Cecconi G, et al. New Onset Cardiac Murmur and Exertional Dyspnea in an Apparently Healthy Child: A Rare Localization of Obstructive Myxoma in the Right Ventricle Outflow Tract without Pulmonary Embolization—A Case Report and Literature Review. Int J Environ Res Public Health. 2022 Oct 8;19(19):12888.
Indruchová P, Petr R, Benešová M, Zemanová I, Línková H. (A young patient with large myxoma in the right atrium). Cor Vasa. 2019 Oct 20;61(5):503–7.
Sharifkazemi M, Rezaian G, Abtahi F. Right Atrial Myxoma and Chronic Transudative Ascites: A Rare and Challenging Clinical Presentation. CASE. 2018 Aug;2(4):120–2.
Durieux R, Tchana‐Sato V, Lavigne J, Radermecker MA, Moonen M, Scagnol I, et al. Recurrent cardiac intimal sarcoma misdiagnosed as a myxoma or malignant transformation of a cardiac myxoma? J Card Surg. 2021 Jan 22;36(1):357–62.
Maleszewski JJ, Basso C, Bois MC, Glass C, Klarich KW, Leduc C, et al. The 2021 WHO Classification of Tumors of the Heart. Journal of Thoracic Oncology. 2022 Apr;17(4):510–8.
Munirathinam G, Kumar B, Singh H. Role of transesophageal echocardiography in the recurrent biatrial myxoma of uncommon origin. Ann Card Anaesth. 2022;25(1):85.
Imazio M, De Ferrari GM. Cardiac tamponade: an educational review. Eur Heart J Acute Cardiovasc Care. 2021 Mar 5;10(1):102–9.
Sinnaeve PR, Adriaenssens T. A contemporary look at pericardiocentesis. Trends Cardiovasc Med. 2019 Oct;29(7):375–83.
Baqi A, Ahmed I. Pericardiocentesis Indications and Complications: A Retrospective Observational Study in a Tertiary Care Hospital in Karachi, Pakistan. Cureus. 2020 Aug 28;
Laksono S and Effendi IK. Tamponade Kardiak: Penegakan Diagnosis dan Manajemen Tatalaksana. Jurnal Implementa Husada. 2023 Feb; 4(1): 63-73
Laksono S and Surya SP. A Case Report of 23-years-old Young Woman with Pericardial Effusion in Systemic Lupus Erythematosus Diagnosed with Echocardiography and CT Scan. Jurnal Widya Medika. 2021 Apr; 7(1): 31-7.
Tolu-Akinnawo O, Dufera RR, Ramanna N. Recurrent Left Atrial Myxoma: The Significance of Active Surveillance. Cureus. 2023 Jan 20;
