Key result
A 67-year-old woman with a primary cardiac tumor, complete heart block, and triple-vessel coronary artery disease underwent transvenous permanent pacemaker insertion after declining CABG.
Why the study?
Primary cardiac tumors are very rare clinical presentations, with presentation alongside complete heart block and triple-vessel coronary artery disease being exceedingly rare.
Case Report (n=1)
This case report highlights a very rare simultaneous presentation of a left atrial tumor, complete heart block, and triple-vessel coronary artery disease.
Answers are grounded in this paper and cite their sources.
Should not yet change practice for heart block with cardiac tumors; leaves open questions on optimal strategies in rare multi-pathology cases.
Primary cardiac tumor (PCT) is a very rare clinical presentation, with myxoma representing the most common type. Majority of the myxomas are found in the left atrium along with a female dominance. This report describes a very rare case of a 67-year-old woman presenting with PCT, complete heart block, and triple-vessel coronary artery disease. The patient was planned to undergo a coronary artery bypass grafting (CABG) along with concomitant tumor excision and epicardial pacemaker insertion. Since the patient and her family did not consent for the CABG, transvenous permanent pacemaker insertion was performed with an advice to follow-up for CABG and tumor excision.
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Khànal et al. (2019) conducted a case report in Primary cardiac tumor, complete heart block, and triple-vessel coronary artery disease (n=1). Transvenous permanent pacemaker insertion was evaluated. A 67-year-old woman with a primary cardiac tumor, complete heart block, and triple-vessel coronary artery disease underwent transvenous permanent pacemaker insertion after declining CABG.
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