Abstract
Introduction: A giant right ventricular myxoma with
simultaneous pulmonary embolism during Transthoracic Echocardiographic
examination is rare, hardly been reported in the literature. We present
a case of a giant right ventricular myxoma with being separated into
pulmonary thrombus simultaneously during process of Transthoracic
Echocardiographic examination.
Case presentation: An 18-year-old
young man performed physical
examination before college entrance examination. Transthoracic
echocardiography (TTE) showed: a heterogeneous mass was found in the
right ventricle. The patient suddenly felt the symptoms of chest pain
and dyspnea during a transthoracic ultrasound examination, and TTE
demonstrated the mass maybe a myxoma with being separated into pulmonary
thrombus simultaneously. Electrocardiogram showed complete right bundle
branch block. The young man underwent intracardiac repair immediately
and was doing well.
Discussion/Conclusion: Although myxoma of the right heart is
common, complicating of pulmonary embolism during examination is rare
especially. Early diagnosis of right heart myxoma complicated with
pulmonary embolism provides an important basis for timely operation, and
provides a guarantee for saving the life of patients.