Left Atrial Myxoma in a Seven Year Old Boy - A Case Report

Primary cardiac tumors of the heart are rare across all age groups.These tumors present with non specific symptoms and are great mimickers of various cardiac and extra cardiac diseases.Thereby, they are among most challenging disease entity to diagnose and the clinician should maintain a high index of suspicion to diagnose these tumors. Among primary cardiac tumors myxoma is the most common variety which commonly occur in Left Atrium.They commonly occur in middle aged Female patients with common age range is 30 to 50 years of age.We hereby, present the case of a seven year old male child who presented to us with fever of unknown origion along with easy fatigability.Clinical examination was positive for mitral area diastolic murmur and a diastolic heart sound.He was found to be anaemic with elevated acute phase reactants.His echocardiography revealed a large pedunculated mass arising from mid part of inter atrial septum protruding into left ventricle during diastole.He underwent complete surgical excision of the left atrial mass under cardiopulmonary bypass.Histopathology of the mass revealed it to be myxoma.Follow up echocardiography revealed no residua of the left atrial mass and symptomatic improvement clinically.The present case report demonstrates the presentation of Left Atrial myxoma with systemic non specific symptoms at an unusual early age.Hence, cardiac myxoma should always be kept in mind when dealing with fever of unknown origin even in pediatric population.