<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Cardiac myxoma is the most common adult cardiac tumor, with an incidence of 1: 1,000,000 in the general population. Usually occurring between 4-6 decades of life, especially in women, most of the myxomas appear sporadically and are of unknown etiology. Rare cases are genetically determined. Sudden death can occur in 15% of cases. While papillary tumors often complicate coronary or systemic thromboembolism, solid tumors, ovoids, cause heart failure by obstructing the mitral orifice. From a clinical point of view, the atrial myxoma may mimic a valvulopathy, heart failure, dilatation cardiomyopathy, bacterial endocarditis, and may cause heart rhythm disorders, syncope, myocardial infarction and systemic or pulmonary thromboembolism. I will present the case of a giant atrial myxoma, intermittent obstructive of the mitral orifice, evolving towards global heart failure. The lack of severe acute complications during the most likely long-lasting evolution represents an undiscovered curiosity.</p></abstract>

Cardiac myxoma is the most common adult cardiac tumor, with an incidence of 1: 1,000,000 in the general population. Usually occurring between 4-6 decades of life, especially in women, most of the myxomas appear sporadically and are of unknown etiology. Rare cases are genetically determined. Sudden death can occur in 15% of cases. While papillary tumors often complicate coronary or systemic thromboembolism, solid tumors, ovoids, cause heart failure by obstructing the mitral orifice. From a clinical point of view, the atrial myxoma may mimic a valvulopathy, heart failure, dilatation cardiomyopathy, bacterial endocarditis, and may cause heart rhythm disorders, syncope, myocardial infarction and systemic or pulmonary thromboembolism. I will present the case of a giant atrial myxoma, intermittent obstructive of the mitral orifice, evolving towards global heart failure. The lack of severe acute complications during the most likely long-lasting evolution represents an undiscovered curiosity.

Giant Left Atrial Myxoma Causing Mitral Valve Obstruction and Pulmonary Hypertension. A Case Report

Faculty of Medicine and Farmacy of Oradea

Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Cardiac myxoma is the most common adult cardiac tumor, with an incidence of 1: 1,000,000 in the general population. Usually occurring between 4-6 decades of...

Giant Left Atrial Myxoma Causing Mitral Valve Obstruction and Pulmonary Hypertension. A Case Report

Publié en ligne: 16 oct. 2018

Pages: 35 - 43

DOI: https://doi.org/10.2478/inmed-2018-0028

Mots clés
cardiac myxoma, mitral valve obstruction, pulmonary hipertension, heart failure

© 2018 Pașc Priscilla et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Giant Left Atrial Myxoma Causing Mitral Valve Obstruction and Pulmonary Hypertension. A Case Report

Publié en ligne: 16 oct. 2018

Pages: 35 - 43

DOI: https://doi.org/10.2478/inmed-2018-0028

Mots cléscardiac myxoma, mitral valve obstruction, pulmonary hipertension, heart failure

© 2018 Pașc Priscilla et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Mots clés
cardiac myxoma, mitral valve obstruction, pulmonary hipertension, heart failure