Cardiac Myxoma : Clinical Features
Comments:
Clinical Presentation: Cardiac myxomas may be asymptomatic and discovered incidentally (15% of cases). The clinical manifestations in symptomatic patients can be grouped into: 1) those related to valvular obstruction; 2) symptoms caused by systemic or pulmonary embolization; and 3) constitutional symptoms.
Valvular Obstruction: Symptoms related to valvular obstruction are most common and depend upon the size and location of the tumor. Left-sided tumors can obstruct mitral valve and cause congestive heart failure. Sudden valvular obstruction may result in sudden death (as happenend in the case shown here). Right-sided tumors may obstruct tricuspid valve and cause syncope, dyspnea, and prominence of neck veins. clinical presentation continues in the next image