Coronary artery thromboembolism: Unexpected presentation of left atrial myxoma covered with thrombus.

J Card Surg

Department of Pathology, Dr Lutfi Kirdar Kartal Egitim ve Arastirma Hastanesi, Istanbul, Turkey.

Published: August 2020

AI Article Synopsis

  • Cardiac myxomas are non-cancerous tumors in the heart that can lead to serious complications, including embolism-induced myocardial infarction.
  • A case is reported where a patient experienced cardiac arrest due to ventricular fibrillation, which was later linked to a myocardial infarction.
  • The diagnosis was confirmed through imaging, and after surgical removal, the mass was identified as a myxoma, which was responsible for creating a risk of arterial embolism.

Article Abstract

Cardiac myxomas are benign primer cardiac tumors of the heart. They can be fatal with a thromboembolic presentation. Myocardial infarction is one of these unusual thromboembolic presentations. We report a patient who presented with cardiac arrest due to ventricular fibrillation related to myocardial infarction. After successful resuscitation, coronary angiography and transthoracic echocardiography were performed. A left atrial mass was observed and interpreted as a possible cause of coronary embolism leading to myocardial infarction. After surgical excision, the pathological examination confirmed myxoma, which was the essential cause of the tendency to arterial embolism.

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http://dx.doi.org/10.1111/jocs.14830DOI Listing

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