Atrial myxoma

Atrial myxomas are the commonest primary neoplasm of the heart. They are usually benign. 

75% are in the left atrium. 

Females >males 

7% are familial 

Features of atrial myxoma may include: 

• Fever
• Weight loss
• Cardiac failure
• Emboli 
• Atrial fibrillation 
• Clubbing
• Mid-diastolic murmur 
• Raised ESR

Treatment is surgical.

References:

Angelini, G. et al. A report and review of recurrent left atrial myxoma: not always such 'a benign tumor'. Eur J Cardiothorac Surg. 1988; 2(6): 465-468. 

Desousa, A. et al. Atrial myxoma: a review of the neurological complications, metastases, and recurrences. J Neurol Neurosurg Psychiatry. 1978; 41(12): 1119-1124. 

Goodwin, J. et al. Clinical features of left atrial myxoma. Thorax. 1962; 17: 91-110. 

Mahilmaran, A. et al. Familial cardiac myxoma: Carney's complex. Tex Heart Inst J. 2003; 30(1): 80-82. 

Yu, S. et al. Clinical experiences of cardiac myxoma. Yonsei Med J. 2006; 47(3): 367-371.

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