Right Ventricle Myxoma Masquerading as a Thrombus in a Pediatric Patient.

Nikhila Rao, Nilesh Rao, George Alfieris, Christopher Prendergast, Rajiv Devanagondi

Abstract readCase Reports

In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Nikhila RaoSUNY Upstate Medical University, Syracuse, New York, USA.

Nilesh RaoSUNY Upstate Medical University, Syracuse, New York, USA.

George AlfierisSUNY Upstate Medical University, Syracuse, New York, USA; Strong Memorial Hospital, University of Rochester, Rochester, New York, USA.

Christopher PrendergastSUNY Upstate Medical University, Syracuse, New York, USA.

Rajiv DevanagondiStrong Memorial Hospital, University of Rochester, Rochester, New York, USA; Stead Family Children's Hospital, University of Iowa, Iowa City, Iowa, USA. Electronic address: rajiv-devanagondi@uiowa.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary cardiac tumors are uncommon in pediatric patients, particularly myxomas. Right ventricle (RV) myxomas can lead to life-threatening sequelae such as pulmonary embolism. CASE SUMMARY: A teenage patient presented with chest pain, was initially diagnosed with pulmonary emboli, and ultimately diagnosed with RV myxoma after transcatheter echocardiographic-guided biopsy of the intracardiac mass. The myxoma was surgically resected, and the patient fully recovered. DISCUSSION: Intracardiac myxomas are unusual in pediatric patients, particularly myxomas arising from the RV. Prior reports of RV myxoma associated with distal pulmonary emboli in children have been fatal or associated with Carney complex. In unusual cases, transcatheter biopsy can confirm the diagnosis. TAKE-HOME MESSAGES: A high degree of suspicion is required to diagnose pediatric myxoma, particularly when it resembles other intracardiac masses, such as thrombus. Additionally, multimodality imaging and biopsy may help to establish a definitive diagnosis before surgical resection.

Indexed as

anticoagulationcancerimagingpediatric surgerypulmonary circulationthrombus

Identifiers

PMID40514121

DOI10.1016/j.jaccas.2025.103620

PMCPMC12237734

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.