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Ann Thorac Surg 1987;44:658-659
© 1987 The Society of Thoracic Surgeons

Articles

Right Atrial Myxoma Presenting as Budd-Chiari Syndrome

Bibiana Cujec, M.D., F.R.C.P.(C), Brian Ulmer, M.D., John P. McKaigney, M.D., F.R.C.P.(C), Baikunth Bharadwaj, M.D., F.R.C.S.(C)*

From the Departments of Cardiovascular Surgery and Internal Medicine, University of Saskatchewan Hospital, Saskatoon, Saskatchewan, Canada

Accepted for publication March 30, 1987.

* Address reprint requests to Dr. Bharadwaj, Division of Cardiovascular Surgery, University Hospital, Saskatoon, Saskatchewan, Canada S7N 0x0

A 25-year-old man experienced rapidly progressing Budd-Chiari syndrome. Despite extensive radiological investigations, no atrial mass could be identified. At operation, a right atrial myxoma was found that originated from the eustachian valve and prolapsed into the inferior vena cava. Following successful removal of the myxoma, the ascites and peripheral edema resolved completely. Right atrial myxoma is a rare cardiac tumor that may present with embolic, obstructive, or constitutional signs and symptoms and is a potentially curable cause of Budd-Chiari syndrome.




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