Vnitr Lek 2013, 59(2):132-135

Syncope as first and only sign of left atrial myxoma

M. Samoš*, M. Kňazeje, J. Dvorský, F. Kovář, P. Galajda, M. Mokáň
I. interná klinika Jesseniovej lekárskej fakulty UK a UN Martin, Slovenská republika, prednosta prof. MUDr. Marián Mokáň, DrSc., FRCP Edin.

Myxoma is the most frequent primary heart tumor. It is localised in the left atrium in majority of cases, but each of heart chambers may be affected. Left atrial myxoma becomes symptomatic in case it leads into mitral valve obstruction, systemic embolisation or it manifests with unspecific systemic symptoms. Echocardiography is a golden standard of myxoma diagnostics. We present a case of 61-years old woman patient in whom excercise induced syncope was the first and only sign of far gone left atrial myxoma with left ventricle inflow tract obstruction, leading to mitral pseudostenosis.

Keywords: left atrial myxoma; syncope; mitral pseudostenosis

Received: December 7, 2012; Accepted: January 19, 2013; Published: February 1, 2013  Show citation

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Samoš M, Kňazeje M, Dvorský J, Kovář F, Galajda P, Mokáň M. Syncope as first and only sign of left atrial myxoma. Vnitr Lek. 2013;59(2):132-135.
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    References

    1. Reynen K. Cardiac myxomas. N Engl J Med 1995; 333: 1610-1617. Go to original source... Go to PubMed...
    2. Goswami KC, Shrivastava S, Bahl VK et al. Cardiac myxomas: clinical and echocardiographic profile. Int J Cardiol 1998; 63: 251-259. Go to original source... Go to PubMed...
    3. Ojji DB, Ajiduku SS, Omonua OO et al. A probable right atrial myxoma prolapsing through the tricuspid value into the right ventricle: a case report. Cases Journal 2008; 1: 386. Go to original source... Go to PubMed...
    4. McCarthy PM, Piehler JM, Schaff HV et al. The significance of multiple, recurrent and "complex" cardiac myxomas. J Thorac Cardiovasc Surg 1986; 91: 389-396. Go to original source...
    5. Pinede L, Duhaunt P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore) 2001; 80: 159-172. Go to original source... Go to PubMed...
    6. Parissis JT, Zezas S, Sfiras N et al. An atypical left atrial myxoma causing intracavitary pressure gradient and typical diastolic transmitral flow of severe mitral stenosis. Int J Cardiol 2005; 102: 165-167. Go to original source... Go to PubMed...
    7. Sattran T, Toušek F, Pešl L et al. Myxom levé síně - nečekaná příčina dušnosti a teplot mladého pacienta. Vnitř Lék 2012; 58: 878-880. Go to PubMed...
    8. Uchytil B, Němec P Myxom levé síně - nečekaná příčina dušnosti a teplot mladého pacienta - editorial. Vnitř Lék 2012; 58: 815-816. Go to PubMed...
    9. Bajraktari G, Emini M, Berisha V et al. Giant left atrial myxoma in an elderly patient: natural history over a 7-year period. J Clin Ultrasound 2006; 34: 461-463. Go to original source... Go to PubMed...
    10. Jang KH, Shin DH, Lee C et al. Left atrial mass with stalk: Thrombus or Myxoma? J Cardiovasc Ultrasound 2010; 18: 154-156. Go to original source... Go to PubMed...
    11. Burke A, Jeudy jr. J, Virmani R. Cardiac tumours: an update: Cardiac tumours. Heart 2008; 94: 117-123. Go to original source... Go to PubMed...
    12. Restrepo CS, Largoza A, Lemos DF et al. CT and MR imaging findings of benign cardiac tumors. Curr Probl Diagn Radiol 2005; 34: 12-21. Go to original source... Go to PubMed...

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