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June 1963

Right Atrial Myxoma Successfully Removed

Author Affiliations


Department of Medicine and Surgery, Veterans Administration Research Hospital and Northwestern University School of Medicine, Northwestern University.

Arch Intern Med. 1963;111(6):814-818. doi:10.1001/archinte.1963.03620300134021

The successful removal of right atrial tumors has been reported in 13 instances.1,2,6 This 14th case warrants reporting because: (1) symptoms related to changes in body position were minimal, (2) the correct diagnosis was made preoperatively, and (3) removal of the tumor resulted in tricuspid insufficiency.

Report of a Case  A 39-year-old farmer was admitted to the hospital on Oct 26, 1959. He was well until February, 1959, when he developed dyspnea on exertion, a mild nonproductive cough, and fatigue. Progression of these symptoms caused him to stop work in June. Pitting ankle edema appeared and was relieved by three days of bed rest. Persistent coolness of the hands and feet and intermittent blueness of the lips developed. In July, 1959, he experienced occasional palpitations and observed prominent pulsations in his neck while shaving. He then became aware of mild, anterior chest discomfort and restlessness while recumbent. These symptoms

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