case_images: PMC6051319_01
case_images: Transthoracic echocardiogram modified apical 4-chamber view showing a large mass in the right ventricle and atrium measuring 7.7 x 3.8 cm and another mass in the left ventricle attached to interventricular septum measuring 1.5 x 1.3 cm.
case_images: CRIC2018-2959041.001.jpg
case_images: PMC6051319_01_CRIC2018-2959041.001.jpg
case_images: fig1
case_images: T4. Transthoracic echocardiography (TTE) showed a large echogenic mobile mass with central constriction attached to the interventricular septum (IVS), occupying the entire right atrium and right ventricle (RV) and obstructing the flow of the tricuspid valve. There were two other masses of the same echogenicity: one was occupying the left ventricle (LV) and the other was in the left atrium attached to the interatrial septum at the site of fossa ovalis (Figure 1, Videos 1-5). The left ventricular dimensions and function were normal.
case_images: Cardiac magnetic resonance showing a myxoma occupying the right ventricle and atrium and another myxoma in the left ventricle attached to the interventricular septum.
case_images: CRIC2018-2959041.002.jpg
case_images: PMC6051319_01_CRIC2018-2959041.002.jpg
case_images: fig2
case_images: Cardiac magnetic resonance showed similar findings with no septal invasion and tissue characterization suggestive of multiple myxomas (Figure 2).
case_images: Computed tomography showing a large myxoma occupying the right ventricle and atrium, another myxoma occupying the left atrium, and a third myxoma occupying the left ventricle.
case_images: CRIC2018-2959041.003.jpg
case_images: PMC6051319_01_CRIC2018-2959041.003.jpg
case_images: fig3
case_images: Computed tomography of the chest, abdomen, and pelvis revealed the same findings (Figure 3) in addition to an enlarged thyroid nodule and a left adrenal cyst that measures 65 x 57 mm (Figure 4).
case_images: Computed tomography showing a large adrenal cyst measuring 65 x 57 mm.
case_images: CRIC2018-2959041.004.jpg
case_images: PMC6051319_01_CRIC2018-2959041.004.jpg
case_images: fig4
case_images: Computed tomography of the chest, abdomen, and pelvis revealed the same findings (Figure 3) in addition to an enlarged thyroid nodule and a left adrenal cyst that measures 65 x 57 mm (Figure 4).
case_images: Gross specimen of the myxomas.
case_images: CRIC2018-2959041.005.jpg
case_images: PMC6051319_01_CRIC2018-2959041.005.jpg
case_images: fig5
case_images: The masses were grossly reddish grey in color, fleshy, and gelatinous in consistency (Figure 5).
case_images: (a, b) Histopathology of mass showing myxomatous cellular proliferations with sparse collagen fibers consistent with myxoma.
case_images: CRIC2018-2959041.006.jpg
case_images: PMC6051319_01_CRIC2018-2959041.006.jpg
case_images: fig6
case_images: The histopathological examination of the excised masses revealed myxomatous cellular proliferations with sparse collagen fibers consistent with multiple myxomas (Figures 6(a) and 6(b)).