Key result
LA myxoma resection reverses severe pulmonary hypertension, cutting the maximal pressure gradient by ~52%.
Case Report (n=1)
No
Surgical resection of a large left atrial myxoma in an adolescent can successfully reverse secondary severe pulmonary hypertension and tricuspid insufficiency.
Alerts clinicians to myxoma in adolescent severe PH; leaves open validation in larger series.
We report a patient of left atrial huge myxoma presenting with severe pulmonary hypertension in adolescents. A patient was a 14-year-old boy presented with sudden onset dyspnea. Transthoracic echocardiographic study revealed the presence of a nodular, 4.34 × 8.11 cm sized, mobile, hyperechoic mass in the left atrium and severe pulmonary hypertension with tricuspid insufficiency. After surgical therapy, tricuspid regurgitation and pulmonary hypertension was decreased and the patient was stabilized and had an uneventful clinical course.
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Kim et al. (2011) conducted a case report in Left atrial myxoma with severe pulmonary hypertension (n=1). Surgical removal was evaluated on Pulmonary artery pressure and clinical symptoms. Surgical removal of a large left atrial myxoma in a 14-year-old boy successfully reversed severe pulmonary hypertension, reducing the maximal pressure gradient from 81.61 mm Hg to 39.37 mm Hg.
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