title: Left atrial myxoma presenting with myocardial infarction. Case report and review of the literature.
abstract: Coronary artery embolization is an extremely rare and potentially lethal complication of atrial myxomas. We present a case report and a literature review of this clinical association. A 53-year-old woman presented with an acute infero-lateral myocardial infarction. Coronary angiography performed 1 h after the onset of pain disclosed an abrupt stop and multiple embolization of the peripheral right coronary artery (RCA). A transthoracic echocardiographic study revealed the presence in the left atrium of an echogenic, mobile mass, compatible with myxoma. The tumour was successfully removed surgically 2 weeks later and the patient is doing well one year post operatively.
authors.affiliation: Department of Internal Medicine, University Hospital of Geneva, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Panos
authors.forename: A
authors.initials: A
authors.lastname: Kalangos
authors.forename: J
authors.initials: J
authors.lastname: Sztajzel
mesh_terms: D017023:Coronary Angiography; D018572:Disease-Free Survival; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D009232:Myxoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery