Abstract
Background Myxomas are the most common form of benign primary
cardiac tumor, most of them are located in the left atrium. When they
are located in the right atrium, It may occur with pulmonary artery
embolism.
Methods and Results A 72-year-old woman had endured more than 5
months with chest tightness and difficulty breathing. Based on various
clinical findings and data, we diagnosed this subject as Cushing’s
syndrome. Emergency bedside ultrasound showed right atrial tumor, which
was confirmed by coronary computed tomography angiography (CCTA).The
patient underwent surgical resection of the right atrial and pulmonary
artery tumors.In the two subsequent short-term reviews (one month and
half a year after surgery), we found same new myxoma in the atrial
septum and pulmonary nodules.
Discussion Tumor recurrence
is uncommon, although not unknown, after complete excision. Recurrence
following surgical excision is rare, with an incidence of only 1%–3%
of all myxomas, and the postoperative course is generally good. However,
some myxomas occur as part of a syndrome known as Carney complex, which
have some unusual features.
Conclusion They face a mottled skin pigmentation, and gorgeous
features of Cushing’s syndrome. Myxomas recurrence have been reported in
numerous reports. In contrast with other reported cases, a specific
characteristic of the present case was the short-term recurrence of
Cardiac myxoma and newly grown nodules in the lungs. Patients received
our recommendations for lifetime anticoagulation therapy and long-term
follow-up observations.