Bi-atrial myxomas presenting as recurrent pulmonary emboli in a girl

J Hanly, M de Buitleir, K Shaw, B Maurer, M X FitzGerald
Postgraduate Medical Journal 1984, 60 (700): 147-50
A 14-year-old girl whose sole presenting features were symptoms of pulmonary embolism, was found to have bi-atrial myxomas. The diagnosis was made preoperatively, and the patient had a successful outcome following elective surgery. The absence of other features such as systemic embolism, atrioventricular valvular obstruction, fever and constitutional symptoms makes this a most unusual case. Right atrial myxoma should be considered in any patient presenting with pulmonary embolism for which there is no obvious source.


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