Bilateral atrial myxoma straddling the foramen ovale in a child diagnosed by multimodal echocardiography：a case report
10.3760/cma.j.cn131148-20241106-00579
- VernacularTitle:多模态超声心动图诊断儿童骑跨卵圆孔的双心房黏液瘤1例
- Author:
Baofu ZHANG
1
;
Dengming LAI
;
Jingjing YE
;
Zhuo SHI
Author Information
1. 浙江大学医学院附属儿童医院超声科 国家儿童健康与疾病临床医学研究中心，杭州 310052
- Publication Type:Journal Article
- Keywords:
Echocardiography，multimodal;
Bilateral atrial myxoma;
Children
- From:
Chinese Journal of Ultrasonography
2025;34(3):260-263
- CountryChina
- Language:Chinese
-
Abstract:
Bilateral atrial myxomas，which exist simultaneously in both the left and right atria and are connected to each other at the foramen ovale，resembling “dumbbell-like”，are very rare. A male child aged 10 years and 11 months presented to an external hospital for vomiting and right eye pain after repeated exercise. Echocardiography showed atrial septal aneurysm accompanied by thrombus formation within the aneurysm. The patient subsequently sought treatment at the Children's Hospital，Zhejiang University School of Medicine，and was diagnosed with bilateral atrial myxoma straddling the foramen ovale using multimodal echocardiographic techniques，such as transthoracic echocardiography，transesophageal echocardiography，contrast-enhanced ultrasound，and transthoracic real-time three-dimensional echocardiography. The patient underwent open-heart surgery to remove bilateral atrial myxomas which adhered to the oval fossa. Postoperative follow-up echocardiography showed no significant abnormalities. This case demonstrates the importance of multimodal echocardiography in the diagnosis and surgical guidance of bilateral atrial myxoma.
