title: The transesophageal echocardiographic diagnosis of left atrial myxoma simulating a left atrial thrombus in the setting of mitral stenosis.
abstract: We report the case of a 56-year-old woman with a history of rheumatic heart disease. The clinical, electrocardiographic, and radiologic findings suggested mitral stenosis. Left atrial obstructive myxoma simulating a thrombus was found by transthoracic echocardiography (TTE). The diagnosis was established by use of transesophageal echocardiography (TEE), confirmed after surgery and by anatomical investigation. Cardiac myxoma associated with mitral stenosis may be difficult to diagnose accurately using TTE. The advantage of TEE in this case and in patients with mitral stenosis is emphasized.
authors.affiliation: Department of Cardiology, Farhat Hached Hospital, Sousse, Tunisia. abdallah.mahdhaoui@famso.rnu.tn
authors.forename: Abdallah
authors.initials: A
authors.lastname: Mahdhaoui
authors.forename: Hatem
authors.initials: H
authors.lastname: Bouraoui
authors.forename: Majdoub Mohamed
authors.initials: MM
authors.lastname: Amine
authors.forename: Moncef
authors.initials: M
authors.lastname: Mokni
authors.forename: Trimeche
authors.initials: T
authors.lastname: Besma
authors.forename: Samia Ernez
authors.initials: SE
authors.lastname: Hajri
authors.forename: Gouider
authors.initials: G
authors.lastname: Jeridi
authors.forename: Mabrouk
authors.initials: M
authors.lastname: Khelfa
authors.forename: Fathi
authors.initials: F
authors.lastname: Bahri
authors.forename: Tahar
authors.initials: T
authors.lastname: Yacoubi
authors.forename: Badreddine
authors.initials: B
authors.lastname: Sriha
authors.forename: Habib
authors.initials: H
authors.lastname: Ammar
mesh_terms: D003937:Diagnosis, Differential; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging; D008946:Mitral Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging*; D009232:Myxoma / Q000150:complications / Q000000981:diagnostic imaging*; D012214:Rheumatic Heart Disease / Q000150:complications / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging*