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Right atrial paraganglioma: An extremely rare primary cardiac neoplasm mimicking myxoma
Ashok Garg2, Deepika Mishra3, Manish Bansal1*, Hari Ram Maharia4, Vikram Goyal5
1Medanta- The Medicity Department of Cardiology
2Senior Consultant and Head, Department of Non-invasive Cardiology, Jaipur Heart Institute, Jaipur, India
3Associate Professor, Department of Pathology, SMS Medical College, Jaipur
4Consultant Cardiology, Metro MAS Hospital, Jaipur
5Chief Cardiac Surgeon, Jaipur Heart Institute, Jaipur
Corresponding Author: Manish Bansal ,Email: manishaiims@hotmail.com
ABSTRACT
In this report, we present a case of 35-years old lady who had presented with atypical chest pain and exertional breathlessness for past six months. Transthoracic and transesophageal echocardiograms showed a well-circumscribed, echo-dense mass in the right atrium, attached to the interatrial septum at the level of atrioventricular junction and in the vicinity of coronary sinus ostium. She underwent successful resection of the cardiac mass. Histopathology revealed the mass to be paraganglioma, which was reconfirmed by immunohistochemistry study. This represents an extremely rare presentation as primary cardiac tumors are 20-times less common than metastatic tumors and paraganglioma is one of the rarest primary cardiac tumors, accounting for <1% of all cases.
Keywords: Cardiac mass, Primary cardiac tumor, Neural crest tumor, Pheochromocytoma
Volume 25, No 3
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