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[Left ventricular myxoma].

Felipe Santibáñez Escobar¹, Fause Attié, Jesús Vargas Barrón

¹Departamento de Cirugía Cardiovascular, Institute Nacional de Cardiología Ignacio Chávez. santi_f@yahoo.com

Archivos De Cardiologia De Mexico

|February 16, 2005

Summary

A rare left ventricular myxoma mimicked coronary artery disease in a young woman. Echocardiography led to emergency surgery, involving tumor resection and mitral valve replacement, highlighting a unique cardiac tumor presentation.

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Area of Science:

Cardiology
Cardiac Surgery
Oncology

Background:

Primary cardiac tumors are uncommon, with myxomas being the most frequent primary heart tumor.
Left ventricular myxomas are particularly rare and can present with diverse clinical manifestations.

Observation:

A young woman presented with symptoms suggestive of coronary artery disease.
Diagnostic echocardiography revealed a left ventricular myxoma.
The tumor was attached to the papillary muscle and deformed the anterior mitral leaflet.

Findings:

The patient underwent emergency surgery via a transeptal approach.
Extensive resection of the myxoma, its pedicle, papillary muscle, and the affected mitral leaflet was performed.
Mitral valve replacement was necessary due to leaflet damage.

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Implications:

This case underscores the importance of considering rare cardiac tumors in the differential diagnosis of coronary artery disease-like symptoms.
Prompt diagnosis and surgical intervention are crucial for managing left ventricular myxomas.
Successful surgical management, including valve replacement, can lead to favorable outcomes.