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Ann Thorac Surg 2004;78:333-334
© 2004 The Society of Thoracic Surgeons

Case report

Budd-Chiari syndrome and portal vein thrombosis due to right atrial myxoma

George K. Anagnostopoulos, MDa*, George Margantinis, MDa, Panagiotis Kostopoulos, MDa, Glyceria Papadopoulou, MDb, Athanassios Roulias, MDb, George Sakorafas, MD, PhDc, Nikolaos Liassis, MD, PhDb

a Department of Gastroenterology, 251 Hellenic Air Force and Veterans General Hospital, Athens, Greece
b Department of Radiology, 251 Hellenic Air Force and Veterans General Hospital, Athens, Greece
c Department of Surgery, 251 Hellenic Air Force and Veterans General Hospital, Athens, Greece

Accepted for publication June 3, 2003.

* Address reprint requests to Dr Anagnostopoulos, Department of Gastroenterology, 251 Hellenic Air Force Hospital, 34 Dimokritou St, Agia Paraskevi, 15343 Athens, Greece
e-mail: gkanagnostopoulos{at}yahoo.gr

Budd-Chiari syndrome is a rare disorder characterized by hepatic venous outflow obstruction. Atrial myxomas account for 35% to 50% of primary cardiac tumors and are usually located in the left atrium. We describe a patient who presented with hepatic inferior vena cava and portal vein thrombosis due to a large myxoma of the right atrium. After the successful removal of the tumor, ascites resolved completely. We conclude that right atrial myxoma is a rare but potentially curable cause of Budd-Chiari syndrome.






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