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The Annals of Thoracic Surgery, Vol 44, 658-659, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

Right atrial myxoma presenting as Budd-Chiari syndrome

B Cujec, B Ulmer, JP McKaigney and B Bharadwaj
Department of Cardiovascular Surgery, University of Saskatchewan Hospital, Saskatoon, Canada.

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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