Giant Left Atrial Myxoma with Mitral Valve Obstruction.
Cardiac myxoma
cardiac tumors
echocardiography
giant myxoma
left atrium
Journal
Journal of cardiovascular echography
ISSN: 2211-4122
Titre abrégé: J Cardiovasc Echogr
Pays: India
ID NLM: 101562228
Informations de publication
Date de publication:
Historique:
received:
02
10
2020
revised:
08
03
2021
accepted:
29
03
2021
entrez:
6
9
2021
pubmed:
7
9
2021
medline:
7
9
2021
Statut:
ppublish
Résumé
Cardiac myxomas are the most common primary intracardiac tumors in adults. Although benign from a histopathological point of view, they can be life-threatening for the patient. We present a case of an unusually giant left atrial myxoma causing mitral valve obstruction and pulmonary hypertension successfully treated with surgical resection. Our patient was a 54-year-old woman who presented to our emergency complaining of progressive dyspnea of about 1 month duration. On cardiovascular examination, we found crackling rales at both lung bases and a diastolic murmur in the mitral focus. Transthoracic echocardiography revealed a giant mass in the left atrium connected to the interatrial septum and extended into the left ventricle during diastole which caused obstruction of the left ventricular inflow tract and a pulmonary hypertension. The patient underwent a median sternotomy with the removal of left atrial mass and patch closure of the interatrial septum. Histopathological examination confirmed the diagnosis of myxoma. One week later, the patient was discharged without any complications. Giant left atrial myxoma although a benign mass, can induce dramatic symptoms and be life-threatening. In case of suspicion, it must be diagnosed early by transthoracic echocardiography and urgently managed by surgical removal.
Identifiants
pubmed: 34485040
doi: 10.4103/jcecho.jcecho_111_20
pii: JCE-31-110
pmc: PMC8388329
doi:
Types de publication
Case Reports
Langues
eng
Pagination
110-112Informations de copyright
Copyright: © 2021 Journal of Cardiovascular Echography.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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