Title: Diagnostic Perplexity: Right Atrial Mass

Authors: Divya A, Saurabh KS, Dhar S, Kumar V, Balakrishnan I, Prasad J

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i7.03

Abstract

Introduction

The differential diagnoses of intracardiac masses include vegetation, thrombus or tumors. Presenting clinical features along with its characteristics; size, shape, location, mobility and attachment of the mass, help differentiate etiology. Echocardiography is the gold standard test for the diagnosis of intracardiac masses and transesophageal echocardiography (TEE) has further improved its diagnostic accuracy.

The prevalence of primary cardiac tumors is approximately 0.02%. About 75% of primary tumors are benign, and 50% of benign tumors are myxomas. Approximately 75% of sporadic myxomas occur in females. In a retrospective review of 171 patients from India, the mean age of presentation was 37.1 years.[1]

Most of the cardiac myxoma occurs on the left side of heart in particular in the left atrium. Although myxomas are the most frequent primary tumors, right atrial is an atypical location leading to a diagnostic dilemma[2–4]. Differential diagnosis with malignant tumors, metastasis andvegetations must be taken into account.

References

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Corresponding Author

Saurabh KS

Department of Cardiothoracic and Vascular Surgery

VMMC and Safdarjung Hospital, Delhi, India