Klinische Wochenschrift

, Volume 66, Issue 16, pp 713–717 | Cite as

Cardiac myxoma

Clinical and pathologic features in 15 cases
  • C. Schmid
  • S. Paterakis
  • J. A. Likungu
  • P. G. Kirchhoff


Neoplasms are rare cardiac findings of which myxomas comprise about 75%. We report of 15 patients, predominantly female (60%) with a mean age of 58.8 years. Male patients (40%) were 20 years younger on average.

80% of these tumors developed in the left atrium fixed to the atrial septum. In 2 patients the right ventricle and in 1 patient the right atrium was involved. No left ventricular or bilateral tumors were found. Clinical findings showed a great variety of symptoms. Often misdiagnosis was established until echocardiography was performed. Major symptoms were dyspnea (80%), elevated erythrocyte sedimentation rate (73%), arrhythmias (53%), lung edema (47%), embolization (40%) and anemia (40%).

Pathological examination and tumor genesis are still in discussion. Several theories are reported in literature: a true thrombus, thrombus organization with malignant potential, true neoplasms as well as a familiar myxoma complex may explain clinical and histological features. Our findings did not confirm only one theory but emphasize different possibilities.

Key words

Cardiac neoplasm Myxoma Thrombus formation 



Left atrium


Right atrium


Right ventricle


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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • C. Schmid
    • 1
  • S. Paterakis
    • 1
  • J. A. Likungu
    • 1
  • P. G. Kirchhoff
    • 1
  1. 1.Universitätsklinik Bonn, Herz- und GefäßchirurgieGermany

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