Key result
Aneurysmatic apical LV myxoma presents as ACS, complicating the differential diagnosis with a thrombus.
Highlights the diagnostic challenge of differentiating between a thrombus and a myxoma in the setting of acute coronary syndrome.
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Myxoma may mimic thrombus in ACS with apical mass; case reports leave open validation of imaging criteria.
In the setting of an acute coronary syndrome, the differential diagnosis between a thrombus and a myxoma may be cumbersome. We describe the case of a patient presenting with an acute coronary syndrome associated with an aneurysmatic apical left ventricular myxoma.
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Pergolini et al. (2015) studied this question. An aneurysmatic apical left ventricular myxoma can present as an acute coronary syndrome, complicating the differential diagnosis with a thrombus.
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