Highlights the rare but important presentation of atrial myxoma as acute myocardial infarction due to coronary embolism.
Consider myxoma in embolic AMI presentations; extends case series but leaves open prospective evaluation.
Atrial myxoma is a cardiac tumor often histologically benign but very insidious for its mechanical complications. Among these, myocardial infarction can be an expression of coronary embolism. Imaging techniques are essential for the diagnosis and the therapeutic steps. We describe the clinical case of a 52-year-old woman with acute myocardial infarction and normal coronary arteries with left atrial myxoma. We conducted a review of published case reports over the last 45 years on the rare association between atrial myxoma and acute myocardial infarction, to obtain pathogenic and epidemiological information from the real world.
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Cannarile et al. (2016) studied this question.
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