Title: Diagnosing a cardiac mass in the era of covid-19: A Case Report.
Authors: Dr H.DAHMANI, Dr M. JAAFARI, Dr I. AZDAY, Pr N.FELLAT
Volume: 8
Issue: 9
Pages: 74-77
Publication Date: 2024/09/28
Abstract:
Background: Cardiac masses (CM) encompass a broad set of lesions that can be either neoplastic or non-neoplastic. Primary cardiac tumours (PCTs) are very rare with an incidence of 0.0017-0,03%, whereas secondary cardiac tumours are 30 times more common. Seventy-five percent of PCTs are benign, myxoma is by far the predominant pathological subtype. Thrombi are the most common CM. Case summary A 63-year-old north-African woman presented for the management of cardiac mass incidentally discovered in a context of pulmonary embolism three months after a covid-19 infection. We proceeded a TTE and a TEE, which results suggested the diagnosis of a right atrial myxoma and was confirmed by the histological sample. Discussion It is difficult to differentiate cardiac tumours from intracardiac thrombus in context of pulmonary embolism six months after a Covid-19 infection. TEE is crucial to make an accurate diagnosis; nevertheless, histological examination is needed.