Left Atrial Myxoma: A Case Report and Review of Literature

Ghulam Murtaza¹, Saad Ullah^2, , Sujeen Adhikari¹ and Aneesh Kuruvilla¹

¹Advocate Christ Medical Center, Oak Lawn, IL

²Temple University/Conemaugh Memorial Medical Center, Johnstown, PA

Cite this paper

Ghulam Murtaza, Saad Ullah, Sujeen Adhikari and Aneesh Kuruvilla. Left Atrial Myxoma: A Case Report and Review of Literature. American Journal of Medical Case Reports. 2017; 5(5):122-125. doi: 10.12691/AJMCR-5-5-5

Abstract

Primary cardiac tumors are an infrequent cause of symptoms mimicking valvular heart disease, congestive heart failure, arrhythmias, conduction defects and pulmonary disease. The rarity of this condition can lead to significant delay and cause patient distress. Here, we present a case of an unusual prolapsing left atrial myxoma in a 61-year-old female who presented with several months of dyspnea.  The patient endorsed weight loss and night sweats during this period and treatment with antibiotics and steroids for pulmonary symptoms had not provided relief. Seven months after her initial presentation, an echocardiogram was performed revealing a 2.85 x 5.44 cm left atrial mass on the interatrial septum. The mass was resected by cardiothoracic surgery with complete resolution of her symptoms.

Keywords

myxoma, benign tumor, cardiac tumors, left atrial tumor

Copyright

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References

[1]	Reynen K. “Cardiac myxomas.” New England Journal of Medicine. 1995 Dec 14; 333(24): 1610-7.
[2]	Herbst M, Wattjes MP, Urbach H, et al. “Cerebral Embolism from Left Atrial Myxoma Leading to Cerebral and Retinal Aneurysms: A Case Report.” American Journal of Neuroradiology. 2005 Mar 1; 26(3): 666-9.
[3]	Meng Q, Lai H, Lima J, et al. “Echocardiographic and pathologic characteristics of primary cardiac tumors: a study of 149 cases.” Int J Cardiol. 2002; 84: 69-75
[4]	Sung RJ, Ghahramani AR, Mallon SM, et al. “Hemodynamic features of prolapsing and nonprolapsing left atrial myxoma.” Circulation. 1975 Feb; 51 (2): 342-9
[5]	O'rourke F, Dean N, Mouradian MS, et al. “Atrial myxoma as a cause of stroke: case report and discussion.” Canadian Medical Association Journal. 2003 Nov; 169: 1049-1051
[6]	Pinede L, Duhaut P, Loire R. “Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases.” Medicine (Baltimore). 2001 May; 80(3): 159-72.
[7]	Mankad R, Herrmann J. “Cardiac tumors: echo assessment.” Echo Res Pract. 2016 Dec; 3(4): R65-R77.