Abstract
Myxoma is the most common primary tumor of the heart and can arise in any of the cardiac chambers. This paper reports A 50 -year-old woman without medical history and any cardiovascular risk factors was hospitalized for exertional dyspnea and palpitations from three months and signifiant weight loss. Transthoracic echocardiogram showed a giant left atrial myxoma mobile confined to the left atrium in systole, in diastole the tumor was seen prolapsing across the mitral valve into the left ventricle and partially obstructing it and causing severe functional mitral stenosis with a mean gradient of 21,3 mmHg. Severe pulmonary hypertension was confirmed by Doppler PAPs =137 mmHg. The patient was scheduled for cardiac surgery with good outcome.
Highlights
Myxoma is the most common primary tumor of the heart and can arise in any of the cardiac chambers, the left atrium is the most commonly involved (75%) [1,2]
The classic triad of myxoma clinical presentation is characterized by intracardiac obstruction, embolisms and constitutional symptoms with fever, weight loss, or symptoms resembling connective tissue disease [1,2,3]
Case report A 50-year-old woman patient without medical history and any cardiovascular risk factors was hospitalized for exertional dyspnea and palpitations from three months and signifiant weight loss
Summary
Myxoma is the most common primary tumor of the heart and can arise in any of the cardiac chambers, the left atrium is the most commonly involved (75%) [1,2]. Case report A 50-year-old woman patient without medical history and any cardiovascular risk factors was hospitalized for exertional dyspnea and palpitations from three months and signifiant weight loss. She related worsening of symptoms in the last week before admission. In diastole (Figure 2) the tumor was seen prolapsing across the mitral valve into the left ventricle and partially obstructing it and causing severe functional mitral stenosis with a mean gradient of 21,3 mmHg. A mild mitral regurgitation was found. The clinical course was uncomplicated and the patient was discharged after three weeks with good outcome
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.