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Volume 342:294-295 January 27, 2000 Number 4
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Angiographic Visualization of an Atrial Myxoma

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To the Editor: Myxoma is the most common type of primary cardiac tumor, and approximately 86 percent of myxomas develop in the left atrium.1 Right atrial myxomas are rare; patients usually present with dyspnea, fever, weight loss, right-sided heart failure, or pulmonary embolization.1,2 We describe a patient who had a large right atrial myxoma with an unusual presentation and a unique appearance on angiography.

A 45-year-old man was hospitalized because of a new atrial flutter. A transthoracic echocardiogram showed a right atrial mass. Transesophageal echocardiography subsequently confirmed the presence of a right atrial myxoma (Figure 1), which prolapsed . . . [Full Text of this Article]

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