title: Cardiac myxoma originating from areas of ventricular akinesia.
abstract: We present a case of large pedunculated myxoma (61×39 mm) in the left ventricular cavity with anterior-septal and anterior free wall akinesia. Angiographic study showed normal coronary arteries, but the clinical signs strongly suggested a previous myocardial infarction. We cannot exclude the possibility that the ventricular akinesia results from embolization of tumor fragments. For a time, cardiac myxomas were believed to arise from mural thrombi. In this case the presence of blood stasis or low-velocity blood flow related to wall motion abnormalities may have played a role in improving tumor growth.
authors.affiliation: Cardiology Unit, Casa di Cura Santa Maria, Bari, Italy.
authors.forename: D
authors.initials: D
authors.lastname: De Viti
authors.affiliation: Cardiology Unit, Casa di Cura Santa Maria, Bari, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Stragapede
authors.affiliation: Cardiology Unit, San Camillo del Lellis Hospital, Manfredonia, Foggia, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Riccioni
authors.affiliation: Department of Neuroscience and Imaging, University of Chieti, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Bucciarelli
authors.affiliation: Cardiology Unit, Casa di Cura Santa Maria, Bari, Italy.
authors.forename: C D
authors.initials: CD
authors.lastname: Memmola
mesh_terms: D006338:Heart Neoplasms / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000473:pathology* / Q000503:physiopathology; D018754:Ventricular Dysfunction / Q000473:pathology* / Q000503:physiopathology