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Published 1 June 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.02.2009.1587]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Giant right atrial cystic hamartoma: a case report and literature review

Fei Zhang1,2, Ni Yin1, Bangliang Yin1, Shuyuan Xu1, Yifeng Yang1

1 Department of Thoracic and Cardiovascular, the 2nd Xiangya Hospital, Center South University, Changsha, Hunan, P.R. China, 410011
2 Department of Thoracic and Cardiovascular, the 2nd Hospital, Anhui Medical University, Hefei, Anhui, P.R. China, 230051

Correspondence to:
Bangliang Yin, dr.yinni{at}yahoo.com.cn

SUMMARY

An 11-year-old boy presenting with palpitation and chest distress was found to have gross cardiomegaly on chest radiography. Subsequent echocardiography revealed an intramural giant cystic mass in the right atrium. An operative measure was planned to prevent acute cardiac tamponade and right coronary artery obstruction. The patient successfully underwent open cystectomy to remove the mass, which was located on the front wall of the right atrium and extended to the atrioventricular appendage. Histopathological examination confirmed a cystic hamartoma. To the best of our knowledge, this is the first reported case of a giant cystic hamartoma located on the right atrium.

Trial registration number: 704640


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