Learn About Atrial Myxoma

What is the definition of Atrial Myxoma?

An atrial myxoma is a noncancerous tumor in the upper left or right side of the heart. It most often grows on the wall that separates the two sides of the heart. This wall is called the atrial septum.

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What are the alternative names for Atrial Myxoma?

Cardiac tumor - myxoma; Heart tumor - myxoma

What are the causes of Atrial Myxoma?

A myxoma is a primary heart (cardiac) tumor. This means that the tumor started within the heart. Most heart tumors start somewhere else.

Primary cardiac tumors such as myxomas are rare. About 75% of myxomas occur in the left atrium of the heart. They most often begin in the wall that divides the two upper chambers of the heart. They can occur in other intra-cardiac sites as well. Atrial myxomas are sometimes linked with valve obstruction stenosis and atrial fibrillation.

Left atrial myxoma
Right atrial myxoma

Myxomas are more common in women. About 1 in 10 myxomas are passed down through families (inherited). These tumors are called familial myxomas. They tend to occur in more than one part of the heart at a time, and often cause symptoms at a younger age.

What are the symptoms of Atrial Myxoma?

Many myxomas will not cause symptoms. These are often discovered when an imaging study (echocardiogram, MRI, CT) is done for another reason.

Symptoms may occur at any time, but often they go along with a change in body position.

Symptoms of a myxoma may include:

  • Breathing difficulty when lying flat or on one side or the other
  • Breathing difficulty when asleep
  • Chest pain or tightness
  • Dizziness
  • Fainting
  • Sensation of feeling your heart beat (palpitations)
  • Shortness of breath with activity
  • Symptoms due to embolism of tumor material

The symptoms and signs of left atrial myxomas often mimic mitral stenosis (narrowing of the valve between the left atrium and the left ventricle). Right atrial myxomas rarely produce symptoms until they have grown to be quite large (5 inches wide, or 13 cm).

Other symptoms may include:

  • Bluish skin, especially on the fingers (Raynaud phenomenon)
  • Cough
  • Curvature of nails accompanied by soft tissue swelling (clubbing) of the fingers
  • Fever
  • Fingers that change color upon pressure or with cold or stress
  • General discomfort (malaise)
  • Joint pain
  • Swelling in any part of the body
  • Weight loss without trying
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What are the current treatments for Atrial Myxoma?

Surgery is needed to remove the tumor, especially if it is causing heart failure symptoms or an embolism.

Who are the top Atrial Myxoma Local Doctors?
Elite
Highly rated in
30
conditions

The First Hospital Of Putian

Teaching Hospital, Fujian Medical University 
Putian, CN 

Shi-min Yuan is in Putian, China. Yuan is rated as an Elite expert by MediFind in the treatment of Atrial Myxoma. They are also highly rated in 30 other conditions, according to our data. Their top areas of expertise are Heart Tumor, Atrial Myxoma, Congenital Pulmonary Lymphangiectasia, and Congenital Mitral Malformation.

Elite
Highly rated in
10
conditions

Philipps Universität Marburg

Marburg An Der Lahn, HE, DE 

Thomas Strecker is in Marburg An Der Lahn, Germany. Strecker is rated as an Elite expert by MediFind in the treatment of Atrial Myxoma. He is also highly rated in 10 other conditions, according to our data. His top areas of expertise are Atrial Myxoma, Heart Tumor, Marburg Hemorrhagic Fever, and Ebola Virus Disease.

 
 
 
 
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Distinguished
Highly rated in
28
conditions

Hôpital Cochin

Paris, FR 

Jerome Bertherat is in Paris, France. Bertherat is rated as a Distinguished expert by MediFind in the treatment of Atrial Myxoma. He is also highly rated in 28 other conditions, according to our data. His top areas of expertise are Carney Complex, Heart Tumor, Adrenal Cancer, and Cushing Syndrome.

What is the outlook (prognosis) for Atrial Myxoma?

Untreated, a myxoma can lead to an embolism (tumor cells or a clot that breaks off and travels in the bloodstream). This can lead to a blockage of blood flow. Pieces of the tumor can move to the brain, eye, or limbs.

If the tumor grows inside the heart, it can block blood flow, causing symptoms of obstruction.

What are the possible complications of Atrial Myxoma?

Complications may include:

  • Arrhythmias
  • Pulmonary edema
  • Peripheral emboli
  • Blockage of the heart valves
What are the latest Atrial Myxoma Clinical Trials?
Familial Investigations of Childhood Cancer Predisposition
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What are the Latest Advances for Atrial Myxoma?
Resection of a large left atrial myxoma combined with mitral valve repair via a vertical right axillary thoracotomy in a pediatric patient.
Giant left atrial myxoma - literature review and case presentation.
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Totally thoracoscopic surgery for treating left atrial myxoma.
Who are the sources who wrote this article ?

Published Date : July 07, 2020
Published By : Thomas S. Metkus, MD, Assistant Professor of Medicine and Surgery, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Lenihan DJ, Yusuf SW, Shah A. Tumors affecting the cardiovascular system. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 95.

Tazelaar HD, Maleszewski JJ. Tumors of the heart and pericardium. In: Fletcher CDM, ed. Diagnostic Histopathology of Tumors. 5th ed. Philadelphia, PA: Elsevier; 2021:chap 2.