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Left atrial myxoma and concomitant atherosclerotic coronary artery disease

Hasan Kocaturk1, Adem Karaman2, Ednan Bayram3

  • 1Şifa Hospital, Department of Cardiology, Erzurum, Turkey.

The Eurasian Journal of Medicine
|January 23, 2015
PubMed

Insights

A 71-year-old female with acute coronary syndrome had a left atrial mass incidentally found during echocardiography. Coronary angioplasty and stenting were successfully performed due to high surgical risk.

Area of Science:

  • Cardiology
  • Cardiac Imaging
  • Interventional Cardiology

Background:

  • Acute coronary syndrome (ACS) management requires prompt diagnosis and intervention.
  • Left atrial masses can present incidentally and impact cardiac function.
  • Echocardiography is crucial for assessing cardiac structure and function in ACS.

Observation:

  • A 71-year-old female presented with ACS, undergoing trans-thoracic echocardiography.
  • Echocardiography revealed a left atrial mass on the inter-atrial septum and anterior myocardial infarction.
  • Coronary angiography showed diffuse coronary artery disease.

Findings:

  • The patient had a left atrial mass and acute anterior myocardial infarction.
  • Diffuse coronary artery disease was identified.
  • Coronary angioplasty and stenting were successfully performed due to high surgical mortality risk.

Implications:

  • Incidental echocardiographic findings of left atrial masses in ACS patients require careful consideration.
  • Interventional strategies like angioplasty and stenting can be viable alternatives to surgery in high-risk patients.
  • Further study of pre-angiography echocardiographic signs may refine treatment strategies for similar complex cardiac cases.

Keywords:
Acute coronary syndromeAtherosclerotic coronary artery diseaseLeft atrial mass

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