Key result
Palliative care guides management of heart failure from left atrial myxoma given ~30% surgical mortality.
Why the study?
Left atrial myxomas are rare cardiac tumors that can cause new-onset heart failure and require consideration in differential diagnosis.
Case Report (n=1)
No
Left atrial myxomas are a rare etiology that should be considered in the differential diagnosis of new-onset heart failure.
Answers are grounded in this paper and cite their sources.
May support myxoma evaluation in select elderly HF cases; leaves open management thresholds amid high perioperative risk.
Left atrial myxomas are rare cardiac tumors typically presenting with constitutional, obstructive, or embolic symptoms, often managed surgically with positive clinical outcomes. We describe a case of an 88-year-old woman presenting status post fall due to exertional dyspnea and progressive lower extremity edema, found to have an elevated HS-troponin, BNP, and a large left atrial mass on echocardiogram consistent with a cardiac myxoma. Given high surgical risk, palliative care was pursued. This case underscores the need to consider left atrial myxomas in new-onset heart failure.
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Ho et al. (2025) conducted a case report in Left atrial myxoma with new-onset heart failure (n=1). Left atrial myxoma was evaluated. A large left atrial myxoma presented as new-onset heart failure in an 88-year-old woman who opted for palliative care due to a 30% estimated surgical mortality risk.
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