Serkan DURDU, İrem DİNÇER, Aydan ONGUN, Demet Menekşe GEREDE, Aynur ACIBUCA

A rare myxoma in the right ventricular outflow tract

Yetmiş bir yaşında erkek hasta rutin kardiyakdeğerlendirme için hastanemize başvurdu.Kalp üfürümü nedeniyle çekilen transtorasikekokardiyografide sağ ventrikülde sistolde pulmonerartere doğru hareket eden 1.9x2.9 cm boyutundabir kitle saptandı. Kitle sistolde pulmoner arterdetıkanıklığa neden olduğu için, istrahatte maksimum22 mmHg gradyant oluşturmasına rağmen, hastaasemptomatikti. Transözofageal ekokardiyografide sağventrikül miksoma tanısından şüphelenildi. Artmışemboli riski nedeniyle, intrakardiyak kitlenin cerrahieksizyonu planlandı. Histopatolojik tanı miksoma idi.

Sağ ventrikül çıkım yolunda nadir miksoma

A 71-year-old man was admitted to our hospital for routinecardiac evaluation. Transthoracic echocardiography uponcardiac murmur showed a 1.9x2.9 cm right ventricularmass, protruding into the pulmonary artery duringsystole. Although the mass caused a maximal restingoutflow gradient of 22 mmHg due to the obstructionof the pulmonary artery during systole, the patientwas asymptomatic. Transesophageal echocardiographyindicated a suspicious diagnosis of the right ventricularmyxoma. The surgical excision of the intracardiac masswas scheduled due to an increased risk of embolism. Thehistopathological diagnosis was myxoma.

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