[Asymptomatic left ventricular myxoma incidentally diagnosed by echocardiography. Report of one case]

Area of Science:

• Cardiology
• Cardiac Surgery
• Diagnostic Imaging

Background:

• Cardiac tumors are rare, and myxomas are the most common primary cardiac tumors.
• Left ventricular myxomas, though uncommon, require accurate diagnosis for appropriate management.
• Early detection of cardiac tumors is crucial for preventing complications.

Observation:

• A 50-year-old hypertensive, asymptomatic female presented with a left ventricular tumor detected via transthoracic echocardiogram.
• Multimodality imaging, including 3D echocardiography, cardiac MRI, and CT, confirmed a calcified left ventricular myxoma.

Findings:

• The diagnostic accuracy of transthoracic echocardiography in identifying cardiac tumors was reinforced.
• Advanced imaging modalities proved essential for detailed characterization and differential diagnosis of the left ventricular mass.
• Surgical resection via a transaortic, transvalvular approach was performed, with successful tumor removal and reconstruction using a pericardial bovine patch.

Implications:

• This case underscores the critical role of echocardiography as a primary diagnostic tool for cardiac tumors.
• Integrated use of 3D echocardiography, cardiac MRI, and CT enhances diagnostic precision for complex cardiac masses.
• Timely surgical intervention is vital for managing cardiac myxomas and ensuring favorable patient outcomes.