Diagnosis of left atrial myxoma at routine coronary angiography in an asymptomatic patient

Asymptomatic atrial myxomas are very rare and are usually diagnosed at echocardiography. Abnormal left atrial vascularity was seen as an incidental finding in an asymptomatic patient at coronary angiography. Transesophageal echocardiography revealed a large left atrial mass and a left atrial myxoma was removed at surgery. The patient remains well.