• La Tunisie médicale · Jan 2003

    Case Reports

    [Right atrial myxoma in a patient with mood disturbances].

    • Rim Lakhdar, Ferid Siala, Anis Khouadja, Sadika Ben Romdhane, W Ouechtati, Habib Thameur, and Ali Belhani.
    • Service de Cardiologie, Hôpital Charles Nicolle Tunis.
    • Tunis Med. 2003 Jan 1;81 Suppl 8:666-9.

    AbstractCardiac myxomas represents 50% of the benign heart tumors. Right atrial myxomas are more rare than left localisations. Their major risks are in occurrence of pulmonary embolisms. The clinical features are non specific and the diagnosis is based on echocardiography. The treatment of choice for myxomas is surgical removal. We report a case of 32-year-old woman with an abnormality of the heart auscultation found when examined for humour disturbance. Echocardiography revealed a giant echogene, mass of the right atrium, prolapsing in the tricuspid orifice. Per-operative findings mentioned a mass with 10 cm of length. Anatomo-pathologic results conclude to atrial myxoma. The evolution after 8 months of surgical treatment was normalisation of heart auscultation and the improvement of the patient humour.

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