The protective effect of mitral stenosis on the embolization of a free-floating left atrial myxoma.
Mitral stenosis associated with free left atrial myxoma is very rare. A free myxoma is life-threatening when incarcerated in the mitral orifice or if embolization of the whole tumor occurs. We report a case of a female patient with moderate mitral stenosis and a detached left atrial myxoma. The myxoma was spherical, solid and smooth-surfaced. Mitral stenosis prevented the exit of the tumor from the left atrium and a possible fatal outcome. The tumor was surgically removed and mitral commissurotomy was successfully performed. Histological analysis confirmed the diagnosis of myxoma.
Matana
Ante
A
Department of Internal Medicine, Division of Cardiology, Clinical Hospital Center Rijeka, HR 51000 Rijeka, T. Strizića 3, Croatia. interna-susak@kbc-rijeka.hr
Zaputović
Luka
L
Simić
Ognjen
O
Kastelan
Zrinka Matana
ZM
D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications; D004452:Echocardiography; D004617:Embolism; D005260:Female; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008946:Mitral Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging*; D009232:Myxoma / Q000150:complications / Q000000981:diagnostic imaging*