Abstract
A 65-year-old man, presented with weight loss, dyspnea and recurrent pleural effusion. Cardiac evaluation showed a (3/6) diastolic rumble at the apex and accentuated 1st heart sound. Echocardiogram evaluation and hemodynamic study revealed a large mass within the left atrium (LA), suggesting a myxoma and pulmonary hypertension. Open heart surgery was performed and a large LA tumor excised, histopathology confirmed the diagnostic of myxoma. Pleural effusion has been a very rare manifestation of cardiac myxoma, that sometimes presents unspecific signs only and symptoms of chronic inflammatory disease.
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