Left atrial myxoma associated with severe congestive heart failure, pulmonary hypertension, and multiple organ insufficiency.
We have experienced a case of left atrial (LA) myxoma with rapid progression of congestive heart failure and ensuing multiple organ insufficiency. After the tumor excision, the hemodynamic derangement was totally corrected and the patient dramatically recovered from kidney, liver, and lung insufficiency. Specifically, pulmonary artery pressure (PAP), pulmonary capillary wedge pressure (PCWP), and central venous pressure (CVP) significantly decreased in the intensive care unit. Administration of prostaglandin E1 (PGE1) was effective in treating residual pulmonary hypertension.
Nakano
T
T
Division of Cardiovascular Surgery, Research Institute of Angiocardiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Mayumi
H
H
Morita
S
S
Shiraishi
K
K
Kanegae
Y
Y
Yasui
H
H
D000328:Adult; D000527:Alprostadil / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D018450:Disease Progression; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006333:Heart Failure / Q000150:complications*; D006338:Heart Neoplasms / Q000150:complications* / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000188:drug therapy; D009102:Multiple Organ Failure / Q000150:complications*; D009232:Myxoma / Q000150:complications* / Q000601:surgery; D014665:Vasodilator Agents / Q000627:therapeutic use
D000959:Antihypertensive Agents; D014665:Vasodilator Agents; D000527:Alprostadil