A case study on right ventricular-myxoma: An unusual presentation

Swarnalata Patro 1, * and Satyajit Sahoo 2

1 Apollo Hospitals, Rourkela, India.
2 Apollo Hospitals, Bhubaneswar, India.
 
Review
International Journal of Science and Research Archive, 2023, 10(02), 938–945.
Article DOI: 10.30574/ijsra.2023.10.2.1047
Publication history: 
Received on 03 November 2023; revised on 17 December 2023; accepted on 20 December 2023
 
Abstract: 
Myxomas originating from the right ventricle are even less common in pediatric patients. It's important to note that right ventricular myxomas are rare, and the symptoms and complications can vary from person to person. Prompt diagnosis and treatment are crucial to prevent potentially life-threatening complications. Treatment typically involves surgical removal of the tumor, and in some cases, additional measures may be necessary to address any associated complications or damage caused by the tumor.
Objective: This case study aims to present a rare and noteworthy case of right ventricle myxoma in a 15-year-old boy, emphasizing the challenges in diagnosis, treatment, and the successful outcome achieved.
Methods: Detailed clinical, imaging, and surgical data were collected and analyzed for a 15-year-old male patient presenting with atypical cardiac symptoms. Diagnostic procedures included 2D ECHO, X-RAY, HRCT-Thorax along with pulmonary Angio leading to the identification of a right ventricle myxoma.
Incidences: Primary tumors of the heart are rare with an incidence of 0.02–0.05%. Cardiac MYXOMAS are rare BENIGN TUMORS that account for nearly 50% of all adult primary Cardiac tumors. Approximately 75–80% of myxomas are in the LEFT ATRIUM,10–20% are in the RIGHT ATRIUM, and 5–10% are in both ATRIA or either VENTRICLE. Myxomas arising from the RIGHT-VENTRICLE are extremely rare and characterized by the presence of a gelatinous mass in the right ventricle. The exact incidence of right ventricular myxoma is not well established, as it is a rare condition and limited data is available. The condition is often diagnosed incidentally during investigations for other cardiac conditions or when patients present with symptoms such as chest pain, shortness of breath, palpitations, or heart murmurs.
Results: The patient, initially presenting with palpitation, underwent successful surgical excision of the right ventricle myxoma. Postoperative recovery was uneventful, and the patient demonstrated significant improvement in symptoms.
Conclusion: Right ventricle myxomas are exceptionally rare in pediatric patients, posing unique diagnostic challenges. This case underscores the importance of considering cardiac tumors even in younger populations when presented with unexplained cardiac symptoms. Timely diagnosis and surgical intervention contributed to a favorable outcome, highlighting the successful management of right ventricle myxoma in adolescents.
 
Keywords: 
Right ventricle myxoma (RV Myxoma); Cardiac Tumor; Surgical Intervention; Case study; ADL (Activity of Daily Living); OPD (Outpatient Department); PFE (Patient & Family Education)
 
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