Cardiac Myxoma Case Series

1 2 2 2
Solihin , Sri Asriyani , Nikmatia Latief ,Rafikah Rauf
Departement Radiology Faculty of Medicine, Universitas Hasanuddin, Makassar

BACKGROUND
Cardiac tumours are rare in everyday practice. Echocardiography
has been non-invasive diagnostic tool until the past decade and is
still a first-line method of evaluating a cardiac tumour. Thoracic
MDCT Scan can locate, differentiate, confirm or exclude the
presence of a cardiac massand is regarded essential for adequate
staging. Additionally, it provides detailed information of cardiac and
vascular anatomy related to the mass. Case 1
Figure 1. Echocardiography showed
Figure 1. 48 years old female with well defined and well circumscribed
myxoma in the right ventricle
heterogeneous mass, intraluminal right ventricle
OBJECTIVE
To present rare cardiac myxoma cases involving ventrikel and Figure 1. Contrast enhanced thoracic
atrium. MDCT scan showing heterogeneous and
non calcified mass, impression
intraluminal right ventricle suggestive a
METHOD cardiac myxoma.
Multimodality radiological examination using echocardiography and Incidental finding : Calcified on pericard
(pericarditis)
thoracic MDCT Scan. Pre-contrast and post-contrast scans were
obtained in both cases.

RESULTS Case 2
We examined 2 patients (female aged 48 years and male aged 31 Figure 2. 30 years old male with well
defined and well circumscribed
years)were referred to our department from May to June 2019 with heterogenous mass that extend to the
suspected cardiac mass detected on echocardiography. Thoracic posterior side of the right ventricle.
intraluminal right atrium
MDCT scan with contrast was done and showed cardiac myxoma,
coresponding with echocardiography result. Well defined and well
circumscribed heterogenic mass was found in the right ventricle,
measuring 1.9 x 1.5 x 1.5 cm on the first patient and in the right Figure 2. Contrast enhanced thoracic
atrium, measuring 6.1 x 5.9 x 4.7 cm on the second patient MDCT scan showing heterogeneous and
calcified mass that extend to the
suggestive of cardiac myxoma. posterior side of the right ventricle.
Impression intraluminal right atrium
sugestive a cardiac myxoma

CONCLUSION
Cardiac myxoma is a rare diagnosis established by radiography
imaging. CT is a non-invasive imaging modality that can describe
cardiac tumors mass, providing important information for diagnosis,
staging, and adequate care planning. Compared with
echocardiography, CT is superior in preoperative planning.
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All patiens in these cases were not operated, only managed

symptomatically