Department of Pediatrics, University of Antananarivo, Antananarivo, Madagascar.
Department of Polyvalent Medicine, University of Antananarivo, Antananarivo, Madagascar.
Pan Afr Med J. 2022 Jan 11;41:25. doi: 10.11604/pamj.2022.41.25.32304. eCollection 2022.
Myxoma of the right atrium is rare, especially at young age. We report a voluminous right atrial myxoma in an adolescent admitted to the general pediatric ward for recurrent discomfort with deterioration of general condition, dyspnea and systemic inflammation. Transthoracic echocardiography revealed an intra-cardiac tumor 7.3 × 5.8 cm in diameter. After surgical excision, the post-operative outcome was favorable. Early diagnosis of cardiac myxoma is important to prevent the occurrence of complication. It should not be missed in a pediatric patient with repeated discomfort and systemic inflammation. Surgical excision remains the main treatment with favorable outcome.
右心房黏液瘤非常罕见，尤其在年轻人中更为少见。我们报告了一例青少年患者，因反复不适伴一般状况恶化、呼吸困难和全身炎症收入普通儿科病房，该患者存在巨大的右心房黏液瘤。经胸超声心动图显示心脏内肿瘤直径为 7.3×5.8cm。经手术切除后，术后转归良好。早期诊断心脏黏液瘤对于预防并发症的发生非常重要。对于反复不适和全身炎症的儿科患者，不应漏诊。手术切除仍然是主要的治疗方法，且预后良好。
