Unusually Large Left Atrial Myxoma Causing Mitral Valve Occlusion and Hiding a Severe Mitral Regurgitation: A Case Report

2006 ◽  
Vol 9 (6) ◽  
pp. E849-E850 ◽  
Author(s):  
Francesco Formica ◽  
Fabio Sangalli ◽  
Giovanni Paolini
2018 ◽  
Vol 5 (6) ◽  
pp. 2358
Author(s):  
Swaminathan Vaidyanathan ◽  
Anjith Prakash Rajakumar ◽  
Vijay Madhan ◽  
V. M. Kurian

Myxomas are the most common benign tumours of the heart, majority of them arise from left atrium. They can have varied presentations, with asymptomatic patients to be picked up in routine screening at one end of spectrum to dangerous embolic manifestations at the other end of the spectrum. We report a case of left atrial myxoma distorting the mitral valve apparatus causing severe eccentric mitral regurgitation. Patient underwent complete surgical excision of the tumour along with mitral valve repair.


2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Toki ◽  
A Hayashida ◽  
T Sakaguchi ◽  
S Aritaka ◽  
K Yoshida

Abstract A 61-year-old gentleman, he had shortness of breath while few weeks and getting worse, was presented to our hospital. His oxygen saturation was 94 %(O2 5L) and no crackles or rales were heard. His electrocardiogram was sinus tachycardia, and chest X-ray showed cardiomegaly and BNP level was elevated (260.3pg/mL). Transthoracic echocardiography (TTE) revealed huge mass(57 × 39mm) occupying left atrium (LA), the mass was flexible in cardiac cycle and prolapsing from LA to left ventricle, it seems like cardiac myxoma. We suspected mitral stenosis (MS) caused by the mass (peak trans mitral flow velocity 3.1m/s), mitral regurgitation(MR) was not significant, and moderate tricuspid regurgitation with pulmonary hypertension (peak systolic pressure 61 mmHg). We performed transesophageal echocardiography(TEE) and CT angiography revealed the mass at fossa ovalis, we decided surgery of removing the mass considering the risk of mitral annulus obstruction and embolism. Intraoperative findings, after taken off the mass, TEE showed moderate to severe MR not detected preoperative TEE. Additionally, it revealed the mitral annulus enlargement(42 × 38mm by 2D TEE) and may gradually induced by prolapsing the mass. Finally, surgery for mitral valve was performed and postoperative TTE showed no MR. The mass was diagnosed cardiac myxoma by pathology. MS is relatively common in patients with prolapsing LA myxoma , and it improves after removing the mass. In this case, mitral valve was no degeneration but enlarged mitral annulus and significantly MR had revealed after removing the mass. Keep in mind that there is possibility to underestimate of MR associated with LA myxoma. To take care of mitral valve complex sufficiently in such case, and to detect these findings at preoperative echocardiography, then more useful assessment for surgery. Abstract P1245 Figure. Huge Left Atrial Myxoma Masks MR


2006 ◽  
Vol 9 (1) ◽  
pp. E486-E487 ◽  
Author(s):  
Robert L. Quigley ◽  
Diederik F. Meursing ◽  
Morris I. Rossman

Author(s):  
Zhimin Liao ◽  
Weijiang Huang ◽  
Qi Hu ◽  
Ziyi Wang ◽  
Lei Pan ◽  
...  

2011 ◽  
Vol 41 (10) ◽  
pp. 618 ◽  
Author(s):  
Jae-Hee Chang ◽  
Jeong-Yeon Kim ◽  
Jin-Won Yoon ◽  
Myung-Do Seol ◽  
Dong-Jun Won ◽  
...  

2013 ◽  
Vol 163 (3) ◽  
pp. S90
Author(s):  
M. Ugurlu ◽  
B. Ekici ◽  
E.A. Ercan ◽  
A.F. Erkan ◽  
H.F. Tore

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