The transesophageal echocardiographic diagnosis of left atrial myxoma simulating a left atrial thrombus in the setting of mitral stenosis.
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.
Mahdhaoui
Abdallah
A
Department of Cardiology, Farhat Hached Hospital, Sousse, Tunisia. abdallah.mahdhaoui@famso.rnu.tn
Bouraoui
Hatem
H
Amine
Majdoub Mohamed
MM
Mokni
Moncef
M
Besma
Trimeche
T
Hajri
Samia Ernez
SE
Jeridi
Gouider
G
Khelfa
Mabrouk
M
Bahri
Fathi
F
Yacoubi
Tahar
T
Sriha
Badreddine
B
Ammar
Habib
H
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*