case_images: PMC5875139_01
case_images: Transthoracic echocardiography in 4-chamber views showed a classical dumbbell-shaped myxoma of 4.1 cm x 3.1 cm sized across the interatrial septum through the foramen ovale. Some specks of hyperechoic spots were marked possibly due to calcification
case_images: JCE-28-59-g001.jpg
case_images: PMC5875139_01_JCE-28-59-g001.jpg
case_images: F1
case_images: Transthoracic echocardiogram and transesophageal echocardiogram unanimously disclosed a classical butterfly wing (so-called dumbbell shaped) intracardiac myxoma with moderate tricuspid valve regurgitation due to direct impingement on tricuspid valve [Figure 1 and Video 1].
case_images: The excised tumor mass consisted of 4.1 cm x 3.1 cm mobile right and left atrial myxomas connected by a common stalk which passed through the atrial septum, collectively resembling the shape of a dumbbell (butterfly). Smooth and jelly-like surface with foci of hemorrhage was evident
case_images: JCE-28-59-g002.jpg
case_images: PMC5875139_01_JCE-28-59-g002.jpg
case_images: F2
case_images: The gross pathology of resected bilobed tumor had size of 4 cm x 2 cm with smooth and jelly-like surface with foci of hemorrhage and calcification [Figure 2].