Cardiac Myxoma with Atypical Presentation: A Case Report

Abstract

Although rare, cardiac Myxomas are the most common primary cardiac tumours, most frequently found in the left atrium. They are typically pedunculated and attached at the fossa ovalis on the left side of the atrial septum. Cardiac Myxomas are benign neoplasms developed from multipotent mesenchyme and usually present as an undifferentiated atrial mass. Although cardiac Myxomas are considered as biologically benign; they are often “functionally malignant” because of the potential for embolization, obstructive and constitutional symptoms. Potentially life-threatening, the presence of Cardiac Myxoma calls for prompt diagnosis and surgical resection. Common manifestations of cardiac Myxoma include dyspnea, orthopnea, fatigue, and constitutional symptoms. In this case report we present a patient with versatile presentation of cardiac Myxoma presenting with recurrent miscarriages and cerebrovascular accidents. We also share intraoperative transoesophageal echocardiography (TOE) approaches to image the tumour pre- and post-excision while the patient is still in the operative room to ensure complete clearance of the tumour.