Cardiac varix: an example via a case report of a radiological mimicker of cardiac myxoma

Cardiovasc Pathol. 2020 Mar-Apr:45:107183. doi: 10.1016/j.carpath.2019.107183. Epub 2019 Nov 26.


Cardiac myxoma is the most frequently encountered primary neoplasm of the heart; however, other tumefactive lesions can share similar radiologic features. We present briefly the case of a 69-year-old man incidentally found to have a mobile right atrial mass that based on initial radiologic findings was considered to represent a myxoma. After pathologic examination, the lesion was determined instead to be a cardiac varix: an endocardial, blood filled cystic space lined by endothelium and considered to represent a dilated vein.

Keywords: Cardiac varix; Echocardiogram; Myxoma; Primary cardiac tumor.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biopsy
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / pathology*
  • Coronary Vessels / surgery
  • Diagnostic Errors
  • Dilatation, Pathologic
  • Echocardiography, Transesophageal
  • Heart Diseases / diagnostic imaging
  • Heart Diseases / pathology*
  • Heart Diseases / surgery
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / pathology*
  • Humans
  • Male
  • Myxoma / diagnostic imaging
  • Myxoma / pathology*
  • Predictive Value of Tests
  • Tomography, X-Ray Computed
  • Varicose Veins / diagnostic imaging
  • Varicose Veins / pathology*
  • Varicose Veins / surgery