[Incidental finding of cardiac myxoma in a patient with bradyarrhythmia].

Abstract

Background: Cardiac tumors have a low incidence in general population, and its clinical presentation varies so much. The aim of this clinical case report is to highlight the importance and utility of ultrasound and echocardiogram in the emergency department as a tool for diagnostic and therapeutic procedures.

Clinical case: 60-year-old male patient who presented to the emergency department because of dyspnea, dizziness, and weakness. At his arrival he was found with 35 bpm, and a junctional bradycardia was confirmed. We decided to implant a temporary transvenous pacemaker with the aid of ultrasound and echocardiogram guidance, finding an intracardiac left atrium mass compatible with a myxoma. The patient was admitted to the cardiology ward, with no remission of the bradycardia. The arrhythmia persisted, which is why the patient underwent the resection of the cardiac tumor along with an implant of a permanent epicardial DDDR pacemaker. The patient was discharged home after a few days with no complications, and he was doing well after a 30-day follow-up.

Conclusions: Diagnosis of cardiac tumors is sometimes obtained as an incidental finding with image diagnostic tests. In our case, the use of ultrasound in our emergency department as a diagnostic and therapeutic tool led us to document the cardiac tumor of our patient since his arrival to the hospital.