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