Untreated Right Ventricle Myxoma with Pericardial Effusion in Young Men: A Case Report

Tristi Lukitawening (Department of Cardiology and Vascular Medicine, Siloam Diagram Heart Hospital, Depok Indonesia)
I Gusti Ayu Ratna Dewi (Department of Cardiology and Vascular Medicine, Siloam Diagram Heart Hospital, Depok Indonesia)
Sidhi Laksono Purwowiyoto (Faculty of Medicine, University of Muhammadiyah Prof. Dr. Hamka, Tangerang, Indonesia)

Green Medical Journal
Vol 5 No 3 (2023): Green Medical Journal

Myxomas are benign cardiac tumors that are mostly found in the left atrium. We present a case of a 20-year-old male patient who presented with worsening dyspnea and signs of right heart failure. The echocardiography shows an untreated giant intracardiac mass in a rare place in the right ventricle, obstructing the blood flow, and massive pericardial effusion. We do a pericardiocentesis first to manage the pericardial effusion. Pericardiocentesis was done in different normal locations due to ascites permagna. Nevertheless, our patient needs emergency surgical excision as soon as possible to prevent sudden death caused by obstruction, embolic, and other complications.