title: Left atrial myxoma prolapsing into the left ventricle. Case report and review of the literature.
abstract: Cardiac myxomas are rare tumors which may present differently. Left atrial myxoma is an entity from anatomopathological and clinical aspects. To the best of our knowledge, only 2 cases of infected left atrial myxomas treated surgically have been reported in the last 6 years. Herein, we present a patient with a left atrial myxoma prolapsing into the left ventricle in the diastolic phase, which was infected with Streptococcus viridans. Combined therapy, consisting of surgical management and antimicrobial therapy, was used. Clinical presentation, diagnosis and treatment are reviewed.
authors.affiliation: Department of Medicine, Red Cross Hospital, Athens, Greece.
authors.forename: G
authors.initials: G
authors.lastname: Karachalios
authors.forename: G
authors.initials: G
authors.lastname: Bablekos
authors.forename: I
authors.initials: I
authors.lastname: Karachaliou
authors.forename: L
authors.initials: L
authors.lastname: Zoganas
authors.forename: A
authors.initials: A
authors.lastname: Charalabopoulos
authors.forename: K
authors.initials: K
authors.lastname: Charalabopoulos
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000077723:Cefepime; D002442:Ceftazidime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D003023:Cloxacillin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000379:methods; D005839:Gentamicins / Q000627:therapeutic use; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D009428:Netilmicin / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D017334:Teicoplanin / Q000627:therapeutic use; D016896:Treatment Outcome; D014640:Vancomycin / Q000627:therapeutic use; D034363:Viridans Streptococci / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D005839:Gentamicins; D009428:Netilmicin; D017334:Teicoplanin; D014640:Vancomycin; D000077723:Cefepime; D002442:Ceftazidime; D003023:Cloxacillin