Article

Cardiac Varix in Relation to Right Atrial Free Wall Presenting as a Mass Compressing the Right Atrium and Mimicking a Pericardial Cyst

Apollo Hospital, Chennai, Tamil Nadu, India.
The Annals of thoracic surgery (Impact Factor: 3.85). 01/2005; 78(6):e96-7. DOI: 10.1016/j.athoracsur.2003.12.070
Source: PubMed

ABSTRACT

Cardiac varix is a rare entity. It is generally small and is in relation to the interatrial septum, often mistaken as cardiac myxoma. A 19-year-old girl, on evaluation of respiratory infection, was found to have a mass compressing the right atrium. Computed tomographic scan and magnetic resonance imaging suggested a differential diagnosis of pericardial cyst or hydatid cyst. Peroperatively, a large (8 x 6.5 x 5.5 cm) cystic lesion in relation to the right atrial free wall was found. The histopathology of the resected mass revealed it to be a cardiac varix. The case is notable for its large size and its location in relation to the right atrial free wall.

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    • "They are situated in the lower part of the interatrial septum and rarely exceed 20 mm in diameter. However, in this case, a large cardiac varix (80 × 65 × 55 mm) was found in relation to the right atrial free wall, presenting as a mass compressing the right atrium [5]. Rasmussen et al. [6] reported that a cardiac varix supplied by atrial branches of both the right and left coronary arteries made it more likely that the lesion was an arteriovenous malformation rather than a venous varicosity. "
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    • "Secondary tumors can reach the heart through the inferior vena cava and invade the right atrium as solid masses, such as renal and hepatocellular carcinoma, uterine leiomyoma or Wilms tumors [1]. Among right atrial masses, right atrial cysts are rare and may represent hydatid, blood, bronchogenic cysts, cardiac varices or right coronary artery aneurysms [1,9,10]. Based on the appearance and location of the right atrial cysts, echocardiography helps in the differential diagnosis as follows: "
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