A giant left atrial myxoma causing mitral valve pseudostenosis – a mimicker
| Autor: | Hafiz Khan, Hameem Changezi, Basel Abdelazeem, Ahmad Munir |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
heart failure macromolecular substances 030204 cardiovascular system & hematology Asymptomatic 03 medical and health sciences 0302 clinical medicine Mitral valve Internal medicine Case report pulmonary hypertension Internal Medicine Medicine 030212 general & internal medicine cardiovascular diseases Atrioventricular valve business.industry Myxoma medicine.disease RC31-1245 Pulmonary hypertension mitral pseudostenosis medicine.anatomical_structure Heart failure Cardiology cardiovascular system medicine.symptom Left Atrial Myxoma business cardiac myxoma |
| Zdroj: | Journal of Community Hospital Internal Medicine Perspectives article-version (VoR) Version of Record Journal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 4, Pp 523-527 (2021) |
| ISSN: | 2000-9666 |
| Popis: | The clinical features of cardiac myxoma vary significantly from asymptomatic to severe cardiovascular complications like atrioventricular valve obstruction and thromboembolism depending on the location, size, and mobility of the tumor. Echocardiography is the diagnostic study of choice, and surgical resection is the method of choice to prevent complications. We report a case of a 47-year-old female who presented with exertional dyspnea, malaise, and weight loss. Physical examination was significant for jugular venous distension, basal crackles in lungs, 2+ pedal edema, and rumbling diastolic murmur at apex. CT of the chest revealed a hypodense filling defect in the left atrium. Transthoracic echocardiogram showed a 5.5 × 4.5 cm mobile density, likely myxoma, attached to the interatrial septum and prolapsing into the left ventricle during the diastolic phase, causing functional mitral stenosis. She underwent a resection of cardiac myxoma. The histopathology report confirmed the diagnosis of myxoma, and post-operative recovery was uneventful. |
| Databáze: | OpenAIRE |
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