Coexistent of giant left atrial myxoma and severe coronary artery disease presenting with paroxysmal atrial fibrillation and syncope

Abstract

Introduction: Large intracardiac mass is a rare condition but it brings extremely high-risk of hemodynamic and embolic complications [1]. Presentation is usually heart failure, syncope or embolic events, but occasionally it may have atypical symptoms even may be asymptomatic. case report: Herein we are discussing a case of a 69-year-old male with syncope due to giant left atrial myxoma and coronary artery disease. conclusion: Although atrial myxomas are the most common type of benign cardiac tumors coexistent with significant coronary artery stenosis is very rare and only a few cases available in literature. surgery performed safely despite patient age, mass size and coronary artery disease coexistence and ultimate prognosis is good. Myxomas may be symptom free despite the coexistent of severe coronary artery disease, older age and large size of the mass until a contributing factor, such as atrial fibrillation episode as in our case, bring out the symptoms. Once the myxomas are detected before any complication surgery