A Rare Case of Right Ventricular Myxoma with Tricuspid Valve Endocarditis

Authors

  • Muhammad Arza Putra, MD Department of Surgery, Faculty of Medicine, Universitas Indonesia / Integrated Cardiovascular Services Unit Cipto Mangunkusumo Hospital, Jakarta Pusat, Indonesia
  • Jenni Pratita, MD Department of Surgery, Faculty of Medicine, Universitas Indonesia / Integrated Cardiovascular Services Unit Cipto Mangunkusumo Hospital, Jakarta Pusat, Indonesia
  • Jonathan Grantomo, MD Department of Surgery, Faculty of Medicine, Universitas Indonesia / Integrated Cardiovascular Services Unit Cipto Mangunkusumo Hospital, Jakarta Pusat, Indonesia
  • Budiana Tanurahardja, MD Department of Pathology Anatomy, Cipto Mangunkusumo Hospital, Jalan Diponegoro Jakarta, Indonesia

DOI:

https://doi.org/10.1532/hsf.3189

Keywords:

Cardiac tumor, myxoma, right ventricle, endocarditis, tricuspid

Abstract

Background: Although myxoma is the most common form of benign cardiac tumor, which is a rare condition itself, less than 3-4% of cases are detected in the right ventricle (RV). The clinical presentations vary widely and are nonspecific, causing challenging diagnosis. Although rare, myxoma can coexist with infective endocarditis (IE).

Case report: We report a rare case of right ventricular myxoma presenting with dyspnea and fever, which was later found to be complicated with concomitant tricuspid valve endocarditis during surgery as well as the performed surgical approach.

Conclusion: RV myxoma is a rare entity requiring a high index of suspicion due to varying nonspecific presentations. Concomitant IE should be suspected in patients with persistent fever. Antibiotics and careful surgical approach are needed to prevent complications, including embolization.

References

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Published

2020-09-25

How to Cite

Putra, M. A., Pratita, J., Grantomo, J., & Tanurahardja, B. (2020). A Rare Case of Right Ventricular Myxoma with Tricuspid Valve Endocarditis. The Heart Surgery Forum, 23(5), E696-E698. https://doi.org/10.1532/hsf.3189

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