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Ann Thorac Surg 2004;78:e96-e97
© 2004 The Society of Thoracic Surgeons

Case report

Cardiac Varix in Relation to Right Atrial Free Wall Presenting as a Mass Compressing the Right Atrium and Mimicking a Pericardial Cyst

Abraham Oomman, MD, DMa,*, Panchapakesan Ramachandran, MD, DMa, Rajan Santhosham, MCha, Louis Felix Sridhar, DNBa, Binu Ramesh, MD, DMa, Samy Jayaraman, DTCDa

a Apollo Hospital, Chennai, Tamil Nadu, India

Accepted for publication December 22, 2003.

* Address reprint requests to Dr Oomman, Apollo Hospital, Gream's Rd, Chennai, Tamil Nadu, India, PIN-600006
dr-oomman{at}lycos.com

Cardiac varix is a rare entity. It is generally small and is in relation to the interatrial septum, often mistaken as cardiac myxoma. A 19-year-old girl, on evaluation of respiratory infection, was found to have a mass compressing the right atrium. Computed tomographic scan and magnetic resonance imaging suggested a differential diagnosis of pericardial cyst or hydatid cyst. Peroperatively, a large (8 x 6.5 x 5.5 cm) cystic lesion in relation to the right atrial free wall was found. The histopathology of the resected mass revealed it to be a cardiac varix. The case is notable for its large size and its location in relation to the right atrial free wall.




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