What is Atrial Myxoma?

Marco Sumayao

An atrial myxoma is a tumor that develops on the atrial septum, usually on the upper left or right side of the heart. The growth is benign and poses no risk of cancer. The condition can cause several medical issues alongside general symptoms, however, including heart failure and embolisms. Patients diagnosed with atrial myxoma are advised by doctors to have the tumor removed as soon as possible.

An atrial myxoma is a benign tumor that develops on the atrial septum.
An atrial myxoma is a benign tumor that develops on the atrial septum.

The condition is categorized as a primary heart tumor, meaning it is one of few tumors that originate directly in the heart. Roughly 75 percent of atrial myxoma cases develop from mesenchymal cells located in the left side of the atrium. In about 10 percent of reported cases, myxomas are heriditary and grow in multiple areas of the heart. Patients with an inherited atrial myxoma often exhibit symptoms at earlier ages than those whose conditions are not hereditary.

In diagnosing atrial myxoma, the physician will use a stethoscope to listen to internal sounds.
In diagnosing atrial myxoma, the physician will use a stethoscope to listen to internal sounds.

Patients who suffer from an atrial myxoma experience several cardiac and respiratory symptoms. Among the most commonly reported symptoms are chest pain, medium to severe heart palpitations, and shortness of breath. In addition, patients might also suffer from sudden unexplainable weight loss, severe nausea, and abnormal swelling in the digits and other parts of the body. The most serious cases of atrial myxoma can result in sudden death due to tumor cells breaking off and causing fatal emobolisms, or by blocking off blood flow within the heart. It is also possible for pieces of an atrial myxoma to find their way to the eyes and brain, causing significant damage to the organs.

An ECG may be performed if atrial myxoma is suspected.
An ECG may be performed if atrial myxoma is suspected.

Diagnosis for an atrial myxoma begins with a thorough examination of the patient's medical history and symptoms. The risk factor is increased for patients with relatives who suffered from the condition and for female patients. The growth will often alter the flow of blood in the heart, resulting in abnormal sounds when examined with a stethoscope. If the doctors suspect the presence of a tumor, they can conduct several tests to visually examine the heart. These include electrocardiogram (ECG) tests, magnetic resonance imaging (MRI) of the heart, and chest x-rays.

Patients suffering from atrial myxoma may experience chest pain and shortness of breath.
Patients suffering from atrial myxoma may experience chest pain and shortness of breath.

If detected, an atrial myxoma must immediately be surgically removed in order to avoid the risk of sudden death. Surgeons should make sure to remove any trace of the growth, as any myxoma cells left behind can develop into new tumors. In serious cases, the damage to the heart will be severe enough to necessitate replacement of the mitral valve.

A qualified surgeon will be required to remove an atrial myxoma.
A qualified surgeon will be required to remove an atrial myxoma.

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