2019, Number 5
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Mul Med 2019; 23 (5)
Left atrial myxoma. Reporá oftwo cases
Pérez DJA, Aguilar AO, Infante LJA, Infante LJM, Rodríguez PMM, Pérez OA
Language: Spanish
References: 11
Page: 1133-1142
PDF size: 510.80 Kb.
ABSTRACT
Introduction: atrial myxomas represent the most frequent cardiac tumors, they are
infrequent but cause a high percentage of systemic and embolic complications. Surgery is
the only possible therapy and recurrence occurs in up to 5% of operated patients. In order
to illustrate echocardiographically and explain the possible causes of recurrence, the
present clinical case is described.
Case presentation: a 53-year-old woman surgically treated for a left atrial myxoma in
2008 and asymptomatic recurrence of the tumor was confirmed 7 years later; We also
report a 48-year-old man who presented precordial pain syndrome diagnosed giant left
atrial myxoma and after surgical treatment his evolution is satisfactory.
Discussion: the most frequent clinical forms of presentation are syncopal episodes of
short duration, cardiac arrhythmias, pulmonary edema and symptoms of low cardiac
output.
Conclusions: Transthoracic echocardiography represents a fundamental tool for early
diagnosis and tumor recurrence.
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