Spontaneous implantation of a left atrial myxoma into the left ventricle (RCD code: VI‑1A.1)
Journal Title: Journal of Rare Cardiovascular Diseases - Year 2016, Vol 2, Issue 7
Abstract
Myxomas are one of the most common cardiac tumors. In 70–80% of cases they are located in the left atrium, 10–20% in the right atrium and in less than 10% in ventricles. We report a case of a 60-year-old patient after myocardial infarction of the posterior-inferior-lateral wall and subsequent percutaneous coronary interventions, who presented with symptoms of unstable angina. Based on standard criteria including cardiac enzymes acute coronary syndrome was excluded. Transthoracic echocardiogram showed hypokinesis of the lateral wall, normal left ventricular ejection fraction of 56%, left ventricular hypertrophy, enlarged heart chambers and moderate mitral regurgitation. Additional two masses were visualized - one of 3.1 x 1.4 cm size growing from interatrial septum in the area of fossa ovalis in the left atrium, second of 1.2 x 0.4 cm connected to the chordae tendinae in the left ventricle. On transthoracic echocardiography a distal part of the left atrial structure spontaneously fell into the left ventricle hitting the tendinae. Successful surgical removal of both masses followed by pathological evaluation confirmed the diagnosis of myxomas.
Authors and Affiliations
Diana Stettner-Leonkiewicz, Andrzej Tomaszewski, Janusz Stążka, Marek Czajkowski, Michał Tomaszewski
Keywords
Related Articles
- EP ID EP245350
- DOI 10.20418/jrcd.vol2no7.227
- Views 108
- Downloads 0
Different biochemical profile of stable and decompensated systolic heart failure patients due to ischemic or dilated cardiomyopathy hospitalized in the tertiary cardiology center (RCD code: III-1)
Aim: This study aims to compare the extended biochemical profile of unselected and consecutive systolic heart failure (SHF) patients admitted electively and urgently to the tertiary cardiology center. Methods: This study...
A 34‐year‐old man with non‐obstructive apical hypertrophic cardiomyopathy (RCD code: III‐2A.1)
Hypertrophic cardiomyopathy (HCM) is a primary disease of the myocardium that is defined by the presence of regional (more frequent) or global myocardial hypertrophy, which usually results in functional cardiac impairmen...
Effusive‐constrictive pericarditis in a patient with end‐stage renal disease
Renal disease, especially end‐stage renal disease, is associated with possible pericardial involvement. We report the case of a 51‐year‐old patient with a history of end‐stage‐renal disease, currently receiving chronic h...
Anomalous left coronary artery from the pulmonary artery (ALCAPA) – an adult who has remained asymptomatic (RCD code:I-1C.3)
A 21 year old woman with phenylketonuria, positive hepatitis B surface antigen and anomalous left coronary artery originating from the pulmonary artery (ALCAPA) was referred to our clinic to asses her current condition a...
The role of biomarkers as an alternative and completion of the diagnostic and therapeutic pathway in patients with aortic stenosis (RCD code: VIII)
Aortic stenosis (AS) is the most frequent type of valvular heart disease. Clinically, it presents as calcific and congenital AS. Calcific AS is often age dependent and affects 2–7% of people over 65 years of age. Many cl...