Right atrial myxoma presenting as pyrexia of unknown origin

Abstract

Most cardiac tumors are benign and localized to the left atrium. Right atrial myxomas are rare and mostly discovered during symptomatic workup or as an incidental finding. Usually, right atrial myxomas are comparatively asymptomatic compared to their left atrial counterparts and do not embolize to systemic circulation unless associated with other anatomical defects. We report a rare case presenting with a history of fever and diagnosed by transthoracic echocardiography. The myxoma was successfully removed surgically, and the patient has significantly improved clinically since then.