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European Journal of Cardio-Thoracic Surgery, Vol 11, 779-781, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Acute bicaval obstruction as a result of intracapsular haemorrhage in a right atrial myxoma: report of a case

AH Walker, JM Wilkinson and JJ Goiti
Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield, UK.

Right atrial myxomas are rare and presentation is characterised by the gradual onset of one or more of a triad of constitutional, obstructive, or embolic symptoms. We describe a case in which interstitial haemorrhage within a right atrial myxoma resulted in rapid expansion and presentation with features of rapidly progressing bicaval obstruction and atrial flutter. Transthoracic echocardiography failed to detect this tumour; however, transoesophageal echo clearly displayed it and gave information on its attachment and relations which proved to be valuable in the planning of its surgical excision.