Intracardiac mass presenting as acute myocardial infarction

Area of Science:

• Cardiology
• Oncology
• Pathology

Background:

• Cardiac tumors are rare but pose significant diagnostic and therapeutic challenges.
• Timely intervention is crucial for optimal patient outcomes in cardiac tumor cases.

Observation:

• A 65-year-old woman presented with chest pain and loss of consciousness, symptoms mimicking acute coronary syndrome.
• Advanced imaging (echocardiography, CT, angiography) and histopathology were essential for diagnosing a left ventricular cardiac myxoma.

Findings:

• Histopathological examination with immunohistochemistry confirmed the intracardiac mass as a cardiac myxoma.
• Multimodality cardiac imaging played a key role in characterizing the tumor and guiding management.

Implications:

• This case highlights the critical role of histopathological confirmation in diagnosing cardiac masses, especially when imaging is ambiguous.
• A multidisciplinary approach integrating advanced imaging and definitive histopathology is vital for accurate diagnosis and tailored management of cardiac tumors.