A PROBABLE CASE OF RIGHT ATRIAL MYXOMA PRESENTING WITH FEATURES OF RESTRICTIVE CARDIOMYOPATHY

Background:Cardiac tumors are very rare and most frequently benign. Myxomas are the most common primary cardiac tumors accounting for about 50% of cases. The clinical presentation of atrial myxomas depends on size, anatomical location and their effects on the surrounding structures rather than the h...

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Autores principales:	Usman MZ, Oboirien I, Isezuo SA, Kofa D
Formato:	article
Lenguaje:	EN
Publicado:	Ntec Specialist 2019
Materias:	myxoma restrictive cardiomyopathy atrium endomyocardial fibrosis Medicine (General) R5-920 Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/75861a1155fd46a1b9312478a50efa8e
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spelling	oai:doaj.org-article:75861a1155fd46a1b9312478a50efa8e2021-11-20T12:13:57ZA PROBABLE CASE OF RIGHT ATRIAL MYXOMA PRESENTING WITH FEATURES OF RESTRICTIVE CARDIOMYOPATHY2006-47722714-242610.36020/10.36020/kjms.2019.1302.013https://doaj.org/article/75861a1155fd46a1b9312478a50efa8e2019-01-01T00:00:00Zhttps://kjmsmedicaljournal.com/wp-content/uploads/2020/02/6.-KJMS-Vol.-13-No.-2.pdfhttps://doaj.org/toc/2006-4772https://doaj.org/toc/2714-2426Background:Cardiac tumors are very rare and most frequently benign. Myxomas are the most common primary cardiac tumors accounting for about 50% of cases. The clinical presentation of atrial myxomas depends on size, anatomical location and their effects on the surrounding structures rather than the histological type. Restrictive cardiomyopathy can present with features of heart failure with typical massive ascites out of proportion to peripheral oedema known as egg on stick appearance. We present a case of a probable right atrial myxoma in a 20year old lady mimicking restrictive cardiomyopathy. Case report: Mrs. HD, a 20-year old Fulani lady was referred to us with 3 years history of progressive abdominal swelling, dyspnea on exertion and easy fatiguability. No orthopnea, paroxysmal nocturnal dyspnea, chest pain, palpitation or syncope. Relevant examination findings include a chronically ill looking young lady, with egg on stick appearance and mild pitting pedal edema. She had tachycardia, blood pressure 90/70mmHg and elevated Jugular venous pressure. The liver was palpable about 4cm below the right costal margin and there was massive ascites demonstrable by fluid thrill. Transthoracic echocardiography revealed huge, well-defined right atrial mass measuring 64 x 35 x 56.8 mm attached to the superior wall of the atrium on apical four chamber view. Conclusion: Atrial mass should be considered in the differential diagnosis of a patient presenting with features of restrictive cardiomyopathy. Echocardiography and histology are required for definitive diagnosisUsman MZOboirien IIsezuo SAKofa DNtec Specialistarticlemyxomarestrictive cardiomyopathyatriumendomyocardial fibrosisMedicine (General)R5-920DentistryRK1-715ENKanem Journal of Medical Sciences, Vol 13, Iss 2, Pp 83-86 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	myxoma restrictive cardiomyopathy atrium endomyocardial fibrosis Medicine (General) R5-920 Dentistry RK1-715
spellingShingle	myxoma restrictive cardiomyopathy atrium endomyocardial fibrosis Medicine (General) R5-920 Dentistry RK1-715 Usman MZ Oboirien I Isezuo SA Kofa D A PROBABLE CASE OF RIGHT ATRIAL MYXOMA PRESENTING WITH FEATURES OF RESTRICTIVE CARDIOMYOPATHY
description	Background:Cardiac tumors are very rare and most frequently benign. Myxomas are the most common primary cardiac tumors accounting for about 50% of cases. The clinical presentation of atrial myxomas depends on size, anatomical location and their effects on the surrounding structures rather than the histological type. Restrictive cardiomyopathy can present with features of heart failure with typical massive ascites out of proportion to peripheral oedema known as egg on stick appearance. We present a case of a probable right atrial myxoma in a 20year old lady mimicking restrictive cardiomyopathy. Case report: Mrs. HD, a 20-year old Fulani lady was referred to us with 3 years history of progressive abdominal swelling, dyspnea on exertion and easy fatiguability. No orthopnea, paroxysmal nocturnal dyspnea, chest pain, palpitation or syncope. Relevant examination findings include a chronically ill looking young lady, with egg on stick appearance and mild pitting pedal edema. She had tachycardia, blood pressure 90/70mmHg and elevated Jugular venous pressure. The liver was palpable about 4cm below the right costal margin and there was massive ascites demonstrable by fluid thrill. Transthoracic echocardiography revealed huge, well-defined right atrial mass measuring 64 x 35 x 56.8 mm attached to the superior wall of the atrium on apical four chamber view. Conclusion: Atrial mass should be considered in the differential diagnosis of a patient presenting with features of restrictive cardiomyopathy. Echocardiography and histology are required for definitive diagnosis
format	article
author	Usman MZ Oboirien I Isezuo SA Kofa D
author_facet	Usman MZ Oboirien I Isezuo SA Kofa D
author_sort	Usman MZ
title	A PROBABLE CASE OF RIGHT ATRIAL MYXOMA PRESENTING WITH FEATURES OF RESTRICTIVE CARDIOMYOPATHY
title_short	A PROBABLE CASE OF RIGHT ATRIAL MYXOMA PRESENTING WITH FEATURES OF RESTRICTIVE CARDIOMYOPATHY
title_full	A PROBABLE CASE OF RIGHT ATRIAL MYXOMA PRESENTING WITH FEATURES OF RESTRICTIVE CARDIOMYOPATHY
title_fullStr	A PROBABLE CASE OF RIGHT ATRIAL MYXOMA PRESENTING WITH FEATURES OF RESTRICTIVE CARDIOMYOPATHY
title_full_unstemmed	A PROBABLE CASE OF RIGHT ATRIAL MYXOMA PRESENTING WITH FEATURES OF RESTRICTIVE CARDIOMYOPATHY
title_sort	probable case of right atrial myxoma presenting with features of restrictive cardiomyopathy
publisher	Ntec Specialist
publishDate	2019
url	https://doaj.org/article/75861a1155fd46a1b9312478a50efa8e
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A PROBABLE CASE OF RIGHT ATRIAL MYXOMA PRESENTING WITH FEATURES OF RESTRICTIVE CARDIOMYOPATHY

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