Left atrial myxoma associated with obstructive coronary artery disease.
We describe a case of a 67 year-old patient with obstructive coronary artery disease that, in the preoperative survey for inguinal herniorraphy surgery, discovered, by a two-dimensional echocardiogram, a tumor in left atrium, mobile, non-obstructive. The patient underwent a cineangiocoronariography showing severe stenosis in the left anterior descending artery, moderate stenosis in the left circumflex artery, near the origin of the first marginal branch, and a non-obstructive plaque in the right coronary artery. There was also moderate left ventricular dysfunction. After that, the patient has gone coronary artery bypass surgery and resection of the left atrial tumor. The histological exam revealed that the tumor was, in fact, a myxoma.
Gismondi
Ronaldo Altenburg Odebrecht Curi
RA
Instituto Nacional de Cardiologia Laranjeiras, Niterói, RJ, Brazil. ronaldo@floralia.com.br
Kaufman
Renato
R
Correa
Gabriel Angelo de Cata Preta
GA
Nascimento
César
C
Weitzel
Luiz Henrique
LH
Reis
José Oscar Brito
JO
da Rocha
Antônio Sérgio Cordeiro
AS
da Cunha
Ademir Batista
AB
D000368:Aged; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D004452:Echocardiography; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008297:Male; D009232:Myxoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012720:Severity of Illness Index