Angina pectoris as first manifestation of a huge biatrial myxoma.
A 73-year-old woman with a history of atrial fibrillation suffered from exertional chest pain and discrete dyspnoea. Cardiac catherization showed a vascular malformation in the atria, fed from vessels of the circumflex and left descending coronary artery. Echocardiography detected a biatrial tumour (13.7 x 9.7 cm). The tumour mass was completely removed and histologic examination revealed a biatrial myxoma with extensive vascular lesions which apparently induced angina by coronary steal effect.
Alexiou
Konstantin
K
Dept. of Cardiac Surgery, University of Technology Dresden, Dresden, Germany. K_alexiou@yahoo.de
Wilbring
Manuel
M
Matschke
Klaus
K
D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology*; D006348:Cardiac Surgical Procedures / Q000379:methods; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D009232:Myxoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012720:Severity of Illness Index