Mitral Valve Obstruction and Pulmonary Hypertension Caused by a Giant Left Atrial Myxoma Prolapsing in the Left Ventricle

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Journal of Cardiovascular Medicine and Cardiology volume2-issue2 articles
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Submitted: July 27, 2015
Published: Aug 17, 2015
DOI: 10.17352/2455-2976.000015
Keywords:
Mitral Valve Obstruction, Pulmonary Hypertension, Giant Left Atrial Myxoma
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Musuraca Gerardo*
Division of Cardiology, S. Maria del Carmine Hospital, Rovereto, Italy
Agostoni Pierfrancesco
Divsion of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands
Boldi Emiliano
Division of Cardiology, Clinica S. Rocco di Franciacorta, Ome, Italy
Terraneo Clotilde
Division of Cardiology, Policlinico Hospital, Monza, Italy
Imperadore Ferdinando
Division of Cardiology, S. Maria del Carmine Hospital, Rovereto, Italy
Del Greco Maurizio
Division of Cardiology, S. Maria del Carmine Hospital, Rovereto, Italy

Abstract

Atrial myxomas are the most common primary cardiac tumors to diagnose. They are benign and have variable presentation. They have an excellent prognosis following surgical excision. We report a case of a 60 year old female who presented with initial signs of both right and left heart failure, fever and cough. Auscultation of the heart revealed an apical mid diastolic murmur. Trans-thoracic and trans-esophageal echocardiography revealed a pedunculated, giant left atrial myxoma that prolapsed through the mitral valve into the left ventricle in diastole producing functional mitral valve stenosis. The patient underwent a successful surgical excision of the tumor. The diagnosis and management of atrial myxomas is here reviewed.

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Article Details

Gerardo, M., Pierfrancesco, A., Emiliano, B., Clotilde, T., Ferdinando, I., & Maurizio, D. G. (2015). Mitral Valve Obstruction and Pulmonary Hypertension Caused by a Giant Left Atrial Myxoma Prolapsing in the Left Ventricle. Journal of Cardiovascular Medicine and Cardiology, 2(2), 016–017. https://doi.org/10.17352/2455-2976.000015
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Copyright (c) 2015 Gerardo M, et al.

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