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[Left atrial myxoma presenting as angor pectoris].
P J Marchena Yglesias1, L P de Benito Cordón, M J Hervás Laguna
1Servicio de Medicina Interna, Hospital Virgen de la Luz, Cuenca. pjmy1@yahoo.es
Anales De Medicina Interna (Madrid, Spain : 1984)
|October 28, 2006
Summary
A 73-year-old woman experienced exercise-induced angina and dyspnea due to a left atrial myxoma obstructing the left ventricle. This cardiac tumor caused symptoms despite the absence of cardiovascular risk factors or coronary artery disease.
Area of Science:
- Cardiology
- Cardiac Oncology
- Pathology
Background:
- A 73-year-old female patient presented with new-onset exertional angina and dyspnea.
- The patient had no prior history of cardiovascular disease or risk factors.
Observation:
- Symptoms persisted for 8 months prior to diagnosis.
- Physical examination revealed signs consistent with cardiac obstruction.
Findings:
- Diagnostic imaging confirmed a left atrial myxoma.
- The myxoma extended into the left ventricle, causing significant hemodynamic compromise.
- Coronary angiography ruled out any coronary artery injury or disease.
Implications:
- Left atrial myxoma can present insidiously with symptoms mimicking other cardiac conditions.
- Timely diagnosis and surgical intervention are crucial for managing myxoma-induced heart failure.
- This case highlights the importance of considering cardiac tumors in the differential diagnosis of exertional dyspnea and angina, even in the absence of traditional risk factors.
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