Mitral Valve Obstruction and Pulmonary Hypertension Caused by a Giant Left Atrial Myxoma Prolapsing in the Left Ventricle

<p>Atrial myxomas are the most common primary cardiac tumors to diagnose. They are benign and have variable presentation. They have an excellent prognosis following surgical excision. We report a case of a 60 year old female who presented with initial signs of both right and left heart failure...

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Main Authors: Musuraca Gerardo (Author), Agostoni Pierfrancesco (Author), Boldi Emiliano (Author), Terraneo Clotilde (Author), Imperadore Ferdinando (Author), Del Greco Maurizio (Author)
Format: Book
Published: Journal of Cardiovascular Medicine and Cardiology - Peertechz Publications, 2015-08-17.
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Summary:<p>Atrial myxomas are the most common primary cardiac tumors to diagnose. They are benign and have variable presentation. They have an excellent prognosis following surgical excision. We report a case of a 60 year old female who presented with initial signs of both right and left heart failure, fever and cough. Auscultation of the heart revealed an apical mid diastolic murmur. Trans-thoracic and transesophageal echocardiography revealed a pedunculated, giant left atrial myxoma that prolapsed through the mitral valve into the left ventricle in diastole producing functional mitral valve stenosis. The patient underwent a successful surgical excision of the tumor. The diagnosis and management of atrial myxomas is here reviewed.</p>
DOI:10.17352/2455-2976.000015