Atrial myxoma

Atrial Myxoma

  • Myxoma (non cancerous tumor) commonly found in heart

  • Atria MC

SSX

  • Obstruction ➔ DOE, syncope

  • Can ➔ embolism (TIA/stroke, mesenteric ischemia, PE)

  • Mid-diastolic rumble (sounds like MS) but may have early diastolic "plop" when tumor moves

DX

  • ECHO (trans-esophageal) shows penduculated mobile mass, ± obstructing ball-valve

TX

  • Immediate surgical resection