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Published on: June 11, 2019
Giant asymptomatic left atrial myxoma
Gregoriana Zanini1, Enrico Vizzardi2,3, Matilde Nardi1
1Section of Cardiovascular Disease, Department of Applied Experimental Medicine, University of Study of Brescia, Brescia, Italy.
Giant heart myxomas are typically symptomatic, causing obstruction or embolisms. This case highlights a rare instance of a large, asymptomatic left atrial myxoma discovered incidentally via echocardiography.
Area of Science:
- Cardiology
- Pathology
Background:
- Cardiac myxomas are primary heart tumors, often presenting with a classic triad of symptoms.
- These symptoms include intracardiac obstruction, embolic events, and constitutional manifestations like fever and weight loss.
- Giant myxomas are defined by their large size, and asymptomatic presentation is exceedingly rare.
Purpose of the Study:
- To report a unique case of a giant asymptomatic left atrial myxoma.
- To emphasize the importance of diagnostic imaging in identifying unexpected cardiac pathologies.
Main Methods:
- A 30-year-old female patient underwent echocardiography.
- Echocardiography revealed a large mass in the left atrium consistent with myxoma.
Main Results:
- A giant myxoma was identified in the left atrium.
- The patient was completely asymptomatic, with no signs of obstruction, embolism, or constitutional symptoms.
Conclusions:
- Giant asymptomatic left atrial myxomas, though rare, can occur.
- Echocardiography is crucial for the incidental diagnosis of cardiac tumors, even in asymptomatic individuals.
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