Unusual course of right atrial myxoma, masked by acute abdominal pain, and complicated by pulmonary embolus

In a 17-year-old youth, exploratory laparotomy for acute abdominal pain was complicated by circulatory arrest related to pulmonary embolism. Echocardiography after resuscitation revealed a hitherto "silent" right atrial myxoma, fragmentation of which had blocked the right atrioventricular...

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Bibliographic Details
Published inScandinavian cardiovascular journal : SCJ Vol. 32; no. 6; p. 371
Main Authors Bitner, M, Jaszewski, R, Wojtasik, L, Zaslonka, J
Format Journal Article
LanguageEnglish
Published England 1998
Subjects
Abdomen, Acute - etiology
Adolescent
Echocardiography
Heart Arrest - etiology
Heart Atria
Heart Neoplasms - complications
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - surgery
Humans
Intraoperative Complications - etiology
Male
Myxoma - complications
Myxoma - diagnostic imaging
Myxoma - surgery
Pulmonary Embolism - etiology
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Summary:In a 17-year-old youth, exploratory laparotomy for acute abdominal pain was complicated by circulatory arrest related to pulmonary embolism. Echocardiography after resuscitation revealed a hitherto "silent" right atrial myxoma, fragmentation of which had blocked the right atrioventricular ostium, causing the pain. Operation was successful. As only a few similar cases have been reported, pulmonary embolism due to fragmentation of a right atrial myxoma may account for some unexplained sudden deaths beyond medical help.
ISSN:1401-7431
DOI:10.1080/14017439850139834