Probable Left Atrial Myxoma Presenting as Concurrent Cerebral and Myocardial Infarctions.
10.4070/kcj.2008.38.11.622
- Author:
Ung JEON
1
;
Young Sin CHO
;
Do Hoi KIM
;
Sang Ho PARK
;
Seung Jin LEE
;
Won Yong SHIN
;
Dong Kyu JIN
;
Se Whan LEE
Author Information
1. Department of Internal Medicine, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea. lovelee93@hanmail.net
- Publication Type:Case Report
- Keywords:
Myxoma;
Myocardial infarction;
Cerebral infarction
- MeSH:
Aged, 80 and over;
Cerebral Infarction;
Chest Pain;
Coronary Angiography;
Coronary Vessels;
Female;
Heart Atria;
Humans;
Middle Cerebral Artery;
Myocardial Infarction;
Myxoma;
Nuclear Family
- From:Korean Circulation Journal
2008;38(11):622-626
- CountryRepublic of Korea
- Language:English
-
Abstract:
Concurrent cerebral and coronary artery embolization is a theoretically possible, but extremely rare complication of an atrial myxoma. We present a paitent with a left atrial mass (a probable myxoma) who presented with concurrent cerebral and myocardial infarctions due to emboli of tumor origin. An 84-year-old woman presented with an acute cerebral infarction of the middle cerebral artery territory. Several hours after admission, she complained of chest pain consistent with a myocardial infarction. Transthoracic and transesophageal echocardiographic studies revealed the presence of a large, mobile, heteroechoic mass with a few daughter nodules in the left atrium, compatible with a myxoma. Coronary angiography disclosed subtotal occlusion of the ramus intermedius branch and visible tumor vascularization adjacent to the right coronary artery. With medical treatment, including anticoagulation, the patient was stabilized and had an uneventful clinical course for the ensuing 6 months since discharge.
