Left atrial myxoma can clinically mimic mitral stenosis, highlighting the need for careful differential diagnosis to enable surgical resection.
Maintain suspicion for myxoma despite mitral stenosis-like findings; Level 5 evidence leaves open optimal diagnostic strategies.
Case Reports1 May 1957MYXOMA OF THE LEFT ATRIUM: REPORT OF A CASEKURT LEKISCH, M.D.KURT LEKISCH, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-46-5-982 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMyxoma of the heart has been diagnosed before death only on rare occasions; indeed, this disorder is usually mistaken for mitral stenosis.1, 3, 5, 6, 12 Because of the difficulty in arriving at a correct clinical diagnosis, it is believed that individual case reports are warranted, particularly in view of recent advances in cardiac surgery which make resection of such tumors possible.Atrial myxoma usually produces a diastolic rumble at the apex identical with that of mitral stenosis. Review of the literature suggests that when rheumatic mitral stenosis is suspected, certain atypical features might suggest atrial tumor: (1) marked alteration...Bibliography1. BlockParkerEdwards WJRLJE: Cardiac clinics: "Myxoma" of the left atrium clinically simulating mitral stenosis: report of case and pathologic studies, Proc. Staff Meet., Mayo Clin. 27: 361-371 (Sept. 10) 1952. MedlineGoogle Scholar2. Coulter WW: Myxoma of the heart (left auricle), Arch. Path. 43: 86-91 (May) 1950. Google Scholar3. DavisAndrus TWEC: Mitral stenosis in facsimile, New England J. Med. 251: 297-302, 1954. CrossrefMedlineGoogle Scholar4. GoldbergGlennDotterSteinberg HPFCTI: Myxoma of the left atrium. Diagnosis made during life with operative and postmortem findings, Circulation 6: 762-767 (Nov.) 1952. CrossrefMedlineGoogle Scholar5. GoldbergSteinberg HPI: Primary tumors of the heart, Circulation 11: 963-970 (June) 1955. CrossrefMedlineGoogle Scholar6. HarrisonMcCormackErnstene JWLJAC: Myxoma of the left atrium simulating mitral stenosis, Circulation 10: 766-771 (Nov.) 1954. CrossrefMedlineGoogle Scholar7. LikoffGeckelerGregory WGDJE: Functional mitral stenosis produced by an intra-atrial tumor, Am. Heart J. 47: 619-625 (Apr.) 1954. CrossrefMedlineGoogle Scholar8. Maronde RF: Case reports of two primary cardiac neoplasms, Am. Heart J. 49: 124-126 (Jan.) 1955. CrossrefMedlineGoogle Scholar9. Martin BF: Clinical aspects of myxoma of the left auricle, Ann. Int. Med. 38: 325-331 (Feb.) 1953. LinkGoogle Scholar10. Prichard RW: Tumors of the heart. Review of the subject and report of one hundred and fifty cases, Arch. Path. 51: 98-128 (Jan.) 1951. MedlineGoogle Scholar11. Scannell JG: Personal communication to the author. Google Scholar12. Scannell JG: Successful removal of a myxoma from the left atrium, New England J. Med. 254: 601-604, 1956. CrossrefMedlineGoogle Scholar13. SteinbergDotterGlenn ICTF: Myxoma of the heart, roentgen diagnosis during life in three cases, Dis. of Chest 24: 509 (Nov.) 1953. CrossrefMedlineGoogle Scholar14. WeinsteinArata MJE: Mitral stenosis and insufficiency produced by cardiac "myxoma," Am. Heart J. 38: 781-787 (Nov.) 1949. CrossrefMedlineGoogle Scholar15. YoungHunter RDWC: Primary myxoma of the left ventricle with embolic occlusion of the abdominal aorta and renal arteries, Arch. Path. 43: 86-91 (Jan.) 1947. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Midland, Texas*Received for publication July 18, 1956.Requests for reprints should be addressed to Kurt Lekisch, M.D.Post Office Box 852, Midland, Texas. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAtrial TumorsAtrial Myxomas: Special Emphasis on Unusual Manifestations“THE WRECKING BALL“: RIGHT ATRIAL MYXOMAIntroduction The spectrum of cardiac tumorsPrimary chondrosarcomatous mesenchymoma of the mitral valve.LEIOMYOSARCOMA OF THE INFERIOR VENA CAVA LEADING TO OBSTRUCTION OF THE TRICUSPID VALVERight atrial myxomaPrimary atrial tumorThe mimetic nature of left atrial myxomasPrimary tumours of the heartClinical Features of Left Atrial MyxomaMyxoma of the left atriumA CASE OF RIGHT ATRIAL MYXOMA WITH SPECIAL REFERENCE TO AN UNUSUAL PHONOCARDIOGRAPHIC FINDINGBILATERAL MYXOMAS OF THE HEART*ROBERT H. FRANKENFELD, M.D., CARLTON H. WATERS, M.D., RICHARD C. STEINER, M.D.Herz- und Perikardtumoren 1 May 1957Volume 46, Issue 5Page: 982-990KeywordsAnemiaElectrocardiographyFibrosisHemorrhageHypothermiaLeft atriumMitral stenosisStenosisThoracic surgeryTumor resection ePublished: 1 December 2008 Issue Published: 1 May 1957 PDF downloadLoading ...
No takes yet. Share an insight, caveat, or question.
K Lekisch (1957) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: