Incidental Presentation of Right Sided Cardiac Myxoma In A10-Year Old Girl

Abstract

Background; Primary cardiac tumors are rare in children with most being benign. Rhabdomyomas are the most common pediatric cardiac tumors whereas myxomas are less frequent and typically occur in atria. Clinical manifestations depend on tumor size, location and mobility ranging from asymptomatic cases to obstruction, arrhythmias, or embolic events. Incidental detection in asymptomatic children is uncommon.
Case Presentation: A 10-year-old female child was found to have a cardiac abnormality during routine school screening. The child was asymptomatic with no history of cardiovascular or constitutional complaints. Clinical examinationrevealed a cardiac murmur.
Echocardiography demonstrated a 22 × 20 mm mobile mass attached to the anterior leaflet of the tricuspid valve suggestive of a myxoma. There was no evidence of inflow obstruction or associated structural cardiac defect. The patient was referred to cardiothoracic and vascular surgery (CTVS) department for further management.
Conclusion: This case highlights a rare presentation of tricuspid valveassociated myxoma in a child detected incidentally. It emphasizes the importance of routine clinical examination and echocardiography in early diagnosis even in asymptomatic individuals to prevent potentially life-threatening complications.