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J Thorac Cardiovasc Surg 2009;138:493-495
© 2009 The American Association for Thoracic Surgery

Brief Clinical Report

Giant cardiac myxoma: Real-time characterization by 64-slice computed tomography

^a Cardiac Surgery Unit, University of Rome "Sapienza," Polo Pontino, ICOT Institute, Rome, Italy
^b Department of Radiology, University of Rome "Sapienza," Polo Pontino, ICOT Institute, Rome, Italy
^c Spencer Lorillard Foundation, Rome, Italy
^d IRCCS Neuromed, Pozzilli, Italy

Received for publication March 6, 2008; accepted for publication March 21, 2008.

^_* Address for reprints: Luigi Muzzi, MD, Department of Heart and Great Vessels, Cardiac Surgery Unit Polo Pontino, ICOT Institute, Via F. Faggiana, 34, 04100 Latina, Italy. (Email: luigimuzzi@hotmail.com).

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	Introduction

 

Video clip is available online.

 

	Clinical Summary

 
A 70-year-old woman was admitted at our institution because of recent onset of palpitations, dyspnea, and fatigue. On physical examination, she appeared well and she did not present particular signs except for a pulse rate of 114 beats per minute; her blood pressure was 155/85 mm Hg, axillary temperature was 36.7°C, respirations were 16 breaths per minute, and arterial blood gas measurements were normal. The chemistry and hematologic laboratory values were within the normal reference ranges. Electrocardiography revealed sinus tachycardia at a rate of 115 beats per minute and diphasic P waves in leads II, aVF, and V₃ through V₅. A chest radiography showed no abnormalities of the heart and mediastinum, and the lungs were clear. However, in the lateral view, an egg-shaped image corresponding to the atria was present and appeared highly suspicious for an intracardiac mass.

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