Key result
Emergency surgical resection of a left atrial myxoma successfully treated a 77-year-old woman presenting with acute myocardial infarction due to coronary embolism, with no postoperative complications.
Case Report (n=1)
No
Left atrial myxoma is a rare but important cause of acute myocardial infarction due to coronary embolism, which can be successfully managed with emergency surgical resection.
Myxoma embolism should be considered in AMI with atrial mass; leaves open optimal management pending larger studies.
Myxoma is a common benign cardiac tumor that may rarely cause an acute myocardial infarction. A 77-year-old woman was admitted to our hospital with chest pain. Electrocardiography showed an ST elevation in leads V3-6. Transthoracic echocardiography revealed an ovoid mass with fragmentation in the left atrium and hypokinesia of the left ventricular apex. Coronary angiography indicated the presence of a coronary embolism that was suspected to be from the left atrial mass. The mass was removed by emergency surgical resection to avoid a further systemic embolism and was diagnosed pathologically as a myxoma. The patient was discharged after 13 days with no complications.
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Ito et al. (2015) conducted a case report in Acute Myocardial Infarction due to Left Atrial Myxoma (n=1). Emergency surgical resection was evaluated on Clinical recovery. Emergency surgical resection of a left atrial myxoma successfully treated a 77-year-old woman presenting with acute myocardial infarction due to coronary embolism, with no postoperative complications.
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