Darwazah Ahmad K, Helou Maroun, Yasin Younis, Masalma Raed, Tuqan Anas, Barabrah Anas, Zaben Basel, Yaghi Bashar, Nairat Moath, Al-Zammar Hasan, Haltam Abdelhalim Abu
Cardiac Surgery Department, Palestine Medical Complex, Ramallah, Palestinian Territory.
Medical Internship, Palestine Medical Complex, Ramallah, Palestinian Territory.
J Cardiothorac Surg. 2025 Aug 30;20(1):349. doi: 10.1186/s13019-025-03492-w.
Atrial myxomas are the most common primary cardiac tumors. In 20% of cases, they arise from the right atrium. Only a few such tumors are reported to have arisen from the inferior vena cava. We present the case of a 20-year-old female with recurrent vomiting and supraventricular tachycardia (SVT), found to have a massive myxoma emerging from the suprahepatic Inferior vena cava (IVC) involving the eustachian valve, and extending to the right atrium. Surgical excision was successful, leading to an uneventful recovery. This case underscores the importance of prompt diagnosis and surgical intervention in managing right atrial myxomas to prevent potential complications such as embolism and sudden death.
心房黏液瘤是最常见的原发性心脏肿瘤。20%的病例中，肿瘤起源于右心房。据报道，只有少数此类肿瘤起源于下腔静脉。我们报告了一例20岁女性患者，有反复呕吐和室上性心动过速（SVT）症状，发现有一个巨大黏液瘤从肝上方的下腔静脉（IVC）长出，累及欧氏瓣，并延伸至右心房。手术切除成功，患者顺利康复。该病例强调了及时诊断和手术干预对于处理右心房黏液瘤以预防栓塞和猝死等潜在并发症的重要性。
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