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Giant Left Atrial Myxoma Causing Mitral Valve Obstruction and Concomitant Coronary Artery Disease
Turgut Karabag1, Sait M Dogan1, Mustafa Aydin1
1Zonguldak Karaelmas University, Faculty of Medicine, Department of Cardiology, Zonguldak, Turkey.
Insights
A giant left atrial myxoma caused heart failure by obstructing blood flow. Surgical removal and bypass grafting led to a successful recovery for the patient.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pathology
Background:
- Congestive heart failure can be caused by various cardiac pathologies.
- Left atrial masses can lead to significant hemodynamic compromise.
Observation:
- A 56-year-old male presented with congestive heart failure.
- Echocardiography revealed a mobile, giant left atrial mass obstructing the left ventricular outflow tract.
Findings:
- Coronary angiography showed severe stenosis in the left anterior descending and circumflex arteries.
- Surgical resection of the left atrial mass and coronary artery bypass grafting were performed.
- Pathological examination confirmed the mass as myxoma.
Implications:
- Surgical intervention is effective for managing obstructive left atrial myxomas.
- Combined procedures can address both mass resection and coronary artery disease.
- Timely diagnosis and treatment result in favorable patient outcomes.
Abstract:
We describe a 56-year old male patient who presented with congestive heart failure and had undergone echocardiography that showed a mobile, giant left atrial mass which caused obstruction in the left ventricular outflow tract. The patient underwent a coronary angiography before operation that showed severe stenosis in the left anterior descending and circumflex artery. The patient underwent resection of the mass and coronary artery bypass grafting. The pathology of the mass was myxoma and patient had a satisfactory outcome.