Most common of the rare benign primary cardiac tumours.
Usually found in the left atrium and typically attached to the septum.
Most common presentation is with symptoms of mitral valve obstruction, followed by embolic manifestations. Constitutional symptoms include fever, fatigue, and weight loss.
The only definite treatment is surgical.
Myxoma is the most common cardiac tumour and constitutes 50% of all benign cardiac tumours in adults, but only 15% of such tumours in children. About 75% of primary cardiac tumours are benign. Most myxomas are found in the left atrium (75%) and in decreasing frequencies in the right atrium, right ventricle, and left ventricle.
History and exam
Syed Wamique Yusuf, MBBS, FRCPI
Professor of Medicine
Department of Cardiology
University of Texas MD Anderson Cancer Center
SWY is Co-Director of the American College of Cardiology Cardiovascular Board Review Course, at which he also delivers lectures.
Dr Syed Wamique Yusuf would like to gratefully acknowledge the assistance of Dr Daniel J. Lenihan. DJL declares that he has no competing interests.
Paul Heidenreich, MD
Associate Professor of Medicine
PH declares that he has no competing interests.
Richard Steingart, MD
Memorial Sloan-Kettering Cancer Center
RS declares that he has no competing interests.
Barry Kneale, MD, FRCP
Integrated Lead Cardiologist
Western Sussex Hospitals NHS Trust and Cardiac Department
BK declares that he has no competing interests.
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