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Case Report: A myxoma with a far reach
Elias Akiki1, Arman Arghami1, Muhannad A Abbasi1
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States.
Insights
A large left atrial mass, suspected to be an atypical myxoma, caused a syncopal episode in a 73-year-old woman. Robotic excision and pathology confirmed the myxoma diagnosis.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pathology
Background:
- A 73-year-old woman experienced syncope and dizziness.
- Initial evaluation revealed a large left atrial mass.
Observation:
- Transthoracic echocardiogram showed the mass extending into pulmonary veins.
- Cardiac MRI and CT angiography with 3D reconstruction suggested an atypical left atrial myxoma.
Findings:
- Robotic excision of the left atrial mass was performed.
- Pathology confirmed the diagnosis of myxoma.
Implications:
- This case highlights the importance of advanced imaging in diagnosing cardiac masses.
- Robotic surgery offers a minimally invasive approach for left atrial mass excision.
- Timely diagnosis and surgical intervention are crucial for managing cardiac myxomas.
Abstract:
A 73-year-old woman presented to the emergency department with a syncopal episode and a history of dizzy spells. A transthoracic echocardiogram demonstrated a large left atrial mass extending into the right upper pulmonary veins. Subsequently, cardiac magnetic resonance imaging and coronary computed tomography angiography with three-dimensional reconstruction and printing of the heart and mass were performed, which demonstrated a high index of suspicion for an atypical left atrial myxoma. The mass was excised robotically, and the pathology report confirmed a diagnosis of myxoma.
