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CARDIAC MYXOMA CASE SERIES

Solihin1, Sri Asriyani2, Nikmatia Latief2,Rafikah Rauf2


Departement Radiology Faculty of Medicine, Universitas Hasanuddin, Makassar

BACKGROUND
Cardiac tumours are rare in everyday practice. Echocardiography has been non-invasive
diagnostic tool until the past decade and is still a first-line method of evaluating a cardiac
tumour. Thoracic MDCT Scan can locate, differentiate, confirm or exclude the presence of a
cardiac mass and is regarded essential for adequate staging. Additionally, it provides detailed
information of cardiac and vascular anatomy related to the mass.

OBJECTIVE
To present rare cardiac myxoma cases involving ventrikel and atrium.

METHOD
Multimodality radiological examination using echocardiography and thoracic MDCT Scan.
Pre-contrast and post-contrast scans were obtained in both cases.

RESULTS
We examined 2 patients (women aged 48 years and men aged 31 years)were referred to our
department from May to June 2019 with suspected cardiac mass detected on
echocardiography. Thoracic MDCT scan with contrast was done and showed cardiac
myxoma, coresponding with echocardiography result. Well defined and well circumscribed
heterogenic mass was found in the right ventricle, measuring 1.9 x 1.5 x 1.5 cm on the first
patient and in the right atrium, measuring 6.1 x 5.9 x 4.7 cm on the second patient suggestive
of cardiac myxoma.

CONCLUSION
Cardiac myxoma is a rare diagnosis established by radiography imaging. CT is a non-
invasive imaging modality that can describe cardiac tumors mass, providing important
information for diagnosis, staging, and adequate care planning. Compared with
echocardiography, CT is superior in preoperative planning.

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