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September 5, 2025Journal of Cardiothoracic Surgery0 citationsOpen Access

Giant right atrial myxoma emerging from the suprahepatic inferior vena cava, extending to the right atrium; a case report and literature review

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ADAhmad K. DarwazahMHMaroun HelouYYYounis Yasin

Key Points

  • Successful surgical excision of a giant atrial myxoma resulted in full recovery, reducing risk of severe complications.
  • The case highlights a rare occurrence of atrial myxoma originating from the inferior vena cava, typically associated with significant morbidity.
  • Assessment based on symptoms like supraventricular tachycardia led to timely intervention and treatment.
  • Prompt recognition and surgical intervention for right atrial myxomas are critical for preventing embolic events.

Abstract

Atrial myxomas are the most common primary cardiac tumors. In 20% of cases, they arise from the right atrium. Only a few such tumors are reported to have arisen from the inferior vena cava. We present the case of a 20-year-old female with recurrent vomiting and supraventricular tachycardia (SVT), found to have a massive myxoma emerging from the suprahepatic Inferior vena cava (IVC) involving the eustachian valve, and extending to the right atrium. Surgical excision was successful, leading to an uneventful recovery. This case underscores the importance of prompt diagnosis and surgical intervention in managing right atrial myxomas to prevent potential complications such as embolism and sudden death.

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Cite This Study

Darwazah et al. (2025) studied this question.

synapsesocial.com/papers/68bb46a86d6d5674bccfe1a8https://doi.org/10.1186/s13019-025-03492-w
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An Unusual Presentation of Right Atrial Myxoma: A Case Report2021 · 4 citations
  2. 2Giant right atrial myxoma presenting as right heart failure: a rare manifestation2020 · 7 citations
  3. 3Calcified inferior vena cava and right atrial myxoma in an 18-month-old male2018 · 7 citations
  4. 4Catheter‑related giant right atrial thrombosis mimicking a myxoma: A case report2021 · 5 citations
  5. 5Cardiac Myxomas1995 · 1,169 citations