Author/Authors :
Hong Goh, Robin Yeong Heart Care - St. John of God Bunbury Hospital, Western Australia, Australia , Mehrotra, Shreeja Department of Cardiothoracic Surgery - Heart and Lung Centre - Mount Hospital, Western Australia, Australia , Buchholz, Stefan Heart Care - St. John of God Bunbury Hospital, Western Australia, Australia , Mehrotra, Deepak Department of Cardiothoracic Surgery - Heart and Lung Centre - Mount Hospital, Western Australia, Australia , Morton, Allison Heart Care - St. John of God Bunbury Hospital, Western Australia, Australia
Abstract :
Cardiac myxoma is a benign primary cardiac tumour which can present with nonspecific symptoms of right heart failure, syncope,
exertional dyspnea, and pulmonary embolism. We describe a case of a right ventricular myxoma complicated with bilateral
pulmonary embolism, with an incidental right coronary artery fistula but otherwise normal coronary anatomy on coronary
angiogram. This case report emphasizes the importance of performing a transesophageal echo in the setting of pulmonary
embolism to search for the origin of thrombus/tumour, and performing a comprehensive assessment is also necessary to rule
out coronary artery disease, coronary artery fistula that may also represent a tumour blush.
