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Left Atrial Myxoma Masquerading as Pulmonary Embolism on Electrocardiogram: A Case Report
Primary cardiac tumors are an incredibly rare finding. Cardiac myxomas are the most primary cardiac tumors that often occur within the left atrium. When left untreated, they pose a high risk of causing hemodynamic collapse by obstruction or can embolize and result in thromboembolic stroke. The prese...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8683111/ https://www.ncbi.nlm.nih.gov/pubmed/34970376 http://dx.doi.org/10.14740/jmc3775 |
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author | Mararenko, Anton Udongwo, Ndausung Desai, Dhaval Schoenfeld, Matthew S. |
author_facet | Mararenko, Anton Udongwo, Ndausung Desai, Dhaval Schoenfeld, Matthew S. |
author_sort | Mararenko, Anton |
collection | PubMed |
description | Primary cardiac tumors are an incredibly rare finding. Cardiac myxomas are the most primary cardiac tumors that often occur within the left atrium. When left untreated, they pose a high risk of causing hemodynamic collapse by obstruction or can embolize and result in thromboembolic stroke. The presentation of cardiac myxoma varies greatly and can be associated with significant morbidity and mortality when undiagnosed. A careful physical examination and high degree of suspicion is crucial in early diagnosis and intervention. Our team presents a 46-year-old female patient with no significant past medical history that presented to the emergency department with a neurological deficit that was concerning for a transient ischemic attack. Initial laboratory workup and electrocardiogram was suggestive for pulmonary embolism; however, upon evaluation with imaging, the patient was found to have a 1.6 × 3.4 cm mass fixed to the mitral leaflet that was then confirmed on transthoracic echocardiography. Our patient was found to have non-obstructive coronary artery disease on cardiac catheterization and ultimately underwent successful mass resection by cardiothoracic surgery. |
format | Online Article Text |
id | pubmed-8683111 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-86831112021-12-29 Left Atrial Myxoma Masquerading as Pulmonary Embolism on Electrocardiogram: A Case Report Mararenko, Anton Udongwo, Ndausung Desai, Dhaval Schoenfeld, Matthew S. J Med Cases Case Report Primary cardiac tumors are an incredibly rare finding. Cardiac myxomas are the most primary cardiac tumors that often occur within the left atrium. When left untreated, they pose a high risk of causing hemodynamic collapse by obstruction or can embolize and result in thromboembolic stroke. The presentation of cardiac myxoma varies greatly and can be associated with significant morbidity and mortality when undiagnosed. A careful physical examination and high degree of suspicion is crucial in early diagnosis and intervention. Our team presents a 46-year-old female patient with no significant past medical history that presented to the emergency department with a neurological deficit that was concerning for a transient ischemic attack. Initial laboratory workup and electrocardiogram was suggestive for pulmonary embolism; however, upon evaluation with imaging, the patient was found to have a 1.6 × 3.4 cm mass fixed to the mitral leaflet that was then confirmed on transthoracic echocardiography. Our patient was found to have non-obstructive coronary artery disease on cardiac catheterization and ultimately underwent successful mass resection by cardiothoracic surgery. Elmer Press 2021-12 2021-12-02 /pmc/articles/PMC8683111/ /pubmed/34970376 http://dx.doi.org/10.14740/jmc3775 Text en Copyright 2021, Mararenko et al. https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Mararenko, Anton Udongwo, Ndausung Desai, Dhaval Schoenfeld, Matthew S. Left Atrial Myxoma Masquerading as Pulmonary Embolism on Electrocardiogram: A Case Report |
title | Left Atrial Myxoma Masquerading as Pulmonary Embolism on Electrocardiogram: A Case Report |
title_full | Left Atrial Myxoma Masquerading as Pulmonary Embolism on Electrocardiogram: A Case Report |
title_fullStr | Left Atrial Myxoma Masquerading as Pulmonary Embolism on Electrocardiogram: A Case Report |
title_full_unstemmed | Left Atrial Myxoma Masquerading as Pulmonary Embolism on Electrocardiogram: A Case Report |
title_short | Left Atrial Myxoma Masquerading as Pulmonary Embolism on Electrocardiogram: A Case Report |
title_sort | left atrial myxoma masquerading as pulmonary embolism on electrocardiogram: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8683111/ https://www.ncbi.nlm.nih.gov/pubmed/34970376 http://dx.doi.org/10.14740/jmc3775 |
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