{"pk":47142,"title":"Point-of-care Ultrasound Diagnosis of Cardiac Myxoma","subtitle":null,"abstract":"<p><strong>Introduction</strong>: Cardiac myxomas are rare benign tumors of the heart that can become clinically relevant due to cardiovascular effects. Diagnosis can be challenging due to non-specific presenting symptoms. Point-of-care ultrasound (POCUS) provides a convenient first-line screening modality. </p>\n<p><strong>Case Presentation:</strong>  A 65-year-old male with a history of tobacco use presented to the emergency department (ED) with a month of progressive dyspnea with exertion and hematemesis. Cardiac POCUS and pulmonary computed tomography with angiography revealed a left atrial mass consistent with a cardiac atrial myxoma. The patient underwent coronary artery bypass grafting with excision of the left atrial myxoma via right atriotomy and atrial septal defect repair. </p>\n<p><strong>Discussion</strong>: Presented is a case of a patient presenting with progressive dyspnea diagnosed with a cardiac myxoma using POCUS in the ED. Cardiac myxomas have a wide variety of clinical presentations, and emergency physicians must maintain a high index of suspicion. Point-of-care-ultrasound is well suited for early diagnosis of this unique pathology. Surgical resection and tumor histopathology remain the mainstay of treatment.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"POCUS"},{"word":"Cardiac Myxoma"},{"word":"Echocardiography"},{"word":"case report"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/70t442fn","frozenauthors":[{"first_name":"Joseph","middle_name":"","last_name":"Brutico","name_suffix":"","institution":"Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Kreider","name_suffix":"","institution":"Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania","department":""}],"date_submitted":"2025-04-05T12:16:54.543000-07:00","date_accepted":"2025-05-20T08:56:18.252000-07:00","date_published":"2025-07-24T01:06:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/47142/galley/38494/download/"}]}