<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Atrial myxomas are common benign tumors localized in the left atrium (85%). The diagnosis is often made during routine examination due to the fact that they are usually asymptomatic. Sometimes the complications of these benign tumors, consisting in embolic events and obstructive valvular disfunction, may be alarm signs that reveal the underlying pathological condition.</p><p>We report the case of a 63-years-old female presenting with non-specific symptoms, the echocardiography was the one that showed the left atrial mass. The particularity that made this case special was the fact that the anticoagulation indication for the atrial fibrillation discovered on the ECG was correlated with the presence of the thrombocytopenia, so the final decision was to postpone it till the surgery. After the removal of the atrial tumor the sinusal rhythm was restored and the combination of beta-blockers and antiplatelet was the best therapeutic choice.</p></abstract>

Atrial myxomas are common benign tumors localized in the left atrium (85%). The diagnosis is often made during routine examination due to the fact that they are usually asymptomatic. Sometimes the complications of these benign tumors, consisting in embolic events and obstructive valvular disfunction, may be alarm signs that reveal the underlying pathological condition.We report the case of a 63-years-old female presenting with non-specific symptoms, the echocardiography was the one that showed the left atrial mass. The particularity that made this case special was the fact that the anticoagulation indication for the atrial fibrillation discovered on the ECG was correlated with the presence of the thrombocytopenia, so the final decision was to postpone it till the surgery. After the removal of the atrial tumor the sinusal rhythm was restored and the combination of beta-blockers and antiplatelet was the best therapeutic choice.

Atrial Myxoma, the Substrate of Atrial Fibrillation, Accompanied by Thrombocytopenia - Perspectives for the Anticoagulation Option and a Future Surgery Intervention

Spitalul Clinic Judeţean de Urgenţă din Oradea

Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Atrial myxomas are common benign tumors localized in the left atrium (85%). The diagnosis is often made during routine examination due to the fact that they...

Atrial Myxoma, the Substrate of Atrial Fibrillation, Accompanied by Thrombocytopenia - Perspectives for the Anticoagulation Option and a Future Surgery Intervention

Published Online: Jul 20, 2018

Page range: 67 - 73

DOI: https://doi.org/10.2478/inmed-2018-0024

Keywords
atrial myxomas, echocardiography, atrial fibrillation

© 2018 Mădălina Moisi et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Atrial Myxoma, the Substrate of Atrial Fibrillation, Accompanied by Thrombocytopenia - Perspectives for the Anticoagulation Option and a Future Surgery Intervention

Published Online: Jul 20, 2018

Page range: 67 - 73

DOI: https://doi.org/10.2478/inmed-2018-0024

Keywordsatrial myxomas, echocardiography, atrial fibrillation

© 2018 Mădălina Moisi et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
atrial myxomas, echocardiography, atrial fibrillation