title: Hamartomatous malformation of the left atrium: a rare cause of recurrent transient ischemic attack.
abstract: Primary cardiac tumors constitute an infrequent heart pathology with a generally good prognosis. We present the case of a 45-year-old woman without a relevant medical history and with recurrent transient ischemic attacks of unknown origin. After follow-up with neurologic examination and repeated echocardiograms, an elongated mobile mass image was seen in the left atrial appendage. Surgical treatment consisted of resecting the mass by left atrial appendage excision through left atriotomy, closing with running suture. Anatomopathologic examination revealed findings compatible with a hamartomatous-like malformation. Discharged 5 days after surgery, the patient has no symptoms and does not require any drugs 1 year later.
authors.affiliation: Department of Cardiovascular Surgery, Hospital Universitario de La Princesa, Madrid, Spain. jbustamantemunguira@gmail.com
authors.forename: Juan
authors.initials: J
authors.lastname: Bustamante
authors.forename: Omer
authors.initials: O
authors.lastname: Leal
authors.forename: Diego
authors.initials: D
authors.lastname: Soto de Prado
authors.forename: Lourdes
authors.initials: L
authors.lastname: Domínguez
authors.forename: Florentino
authors.initials: F
authors.lastname: Nombela
authors.forename: Mercedes
authors.initials: M
authors.lastname: Guijarro
authors.forename: Carlos
authors.initials: C
authors.lastname: Gamallo
mesh_terms: D020517:Atrial Appendage / Q000473:pathology* / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D006222:Hamartoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006325:Heart Atria; D006331:Heart Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology* / Q000503:physiopathology; D008875:Middle Aged; D018570:Risk Assessment; D016896:Treatment Outcome
keywords: 16