Metastatic multicentric myxoma with invasive behavior: A peculiar and aggressive case of Carney complex

A 42-year-old man presented to the emergency department with a 20-day history of blood-stained sputum. Computed tomography angiography (CTA) of the pulmonary arteries demonstrated multiple low-density filling defects in the main trunk, lobar branches of the pulmonary artery, Superior vena cava (SVC) and right ventricle (RV) (Fig. 1A and B, C, D). One non-calcified nodule and small patchy shadows were noted at right lung field (Fig. 2 E1, E2), which were suspicious of metastasis. Transthoracic echocardiography (TTE) and cardiovascular magnetic resonance imaging (CMR) had revealed a mass within the right atrium (RA) and RV (supplementary files1, 2, Movie 1, 2).
Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Authors: Source Type: research