Left atrial myxoma attached to the anterior mitral leaflet with symptoms suggestive of infective endocarditis.
The case of a 55-year-old woman is presented, whose clinical signs were initially suggestive of infective endocarditis. Transthoracic echocardiography (TTE) provided the diagnosis of a large left atrial myxoma attached to the anterior mitral leaflet. Perioperative transesophageal echocardiography (TEE) confirmed preoperative findings and assisted the surgical team in the assessment of tumour size, area of attachment, and mobility. Following tumour resection, TEE demonstrated residual moderate mitral valve regurgitation, which resulted in a change of surgical strategy. This report reinforces the importance of intraoperative TEE to facilitate and optimize surgical and anaesthesiological management of patients presenting with non-specific cardiorespiratory symptoms.
Erdoes
Gabor
G
Department of Anesthesiology and Pain Therapy, University Hospital Bern, Freiburgstrasse, Bern CH-3010, Switzerland. gabor.erdoes@insel.ch
Reineke
David
D
Basciani
Reto
R
Carrel
Thierry
T
Eberle
Balthasar
B
D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000379:methods; D004696:Endocarditis / Q000000981:diagnostic imaging*; D005260:Female; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D009232:Myxoma / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome