Torii S, Suma K, Shiroma K, Inoue K, Koyama Y
Department of Cardiovascular Surgery, Tokyo Women's Medical College Daini Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Jun;39(6):910-3.
A 14-year-old woman was admitted to our hospital due to heart murmur. Loud systolic murmur at the forth intercostal space was altered its intensity by patient's posture. The chest roentgenogram showed normal cardiovascular silhouette. The electrocardiogram revealed normal sinus rhythm without right bundle branch block. The echocardiography and cineangio-cardiography proved a tumor in the right ventricle. Right heart catheterization showed pressure gradient for 35 mmHg between the right ventricle and the pulmonary artery. At surgery, the tumor was excised with the full thickness of the anterior right ventricular wall. The tumor was cardiac myxoma with 15 g of weight. The patient's postoperative course was uneventful.