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.
Department of Internal Medicine, Division of Cardiology, Clinical Hospital Center Rijeka, HR 51000 Rijeka, T. Strizića 3, Croatia. interna-susak@kbc-rijeka.hr
Ante
A
Matana
Luka
L
Zaputović
Ognjen
O
Simić
Zrinka Matana
ZM
Kastelan
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*