Left atrial myxoma with concomitant coronary artery stenosis: comprehensive diagnosis and treatment
Keywordscardiac tumor, myxoma, heart failure, CABG
A 69-year-old patient was admitted to the Department of Cardiology due to an accidental finding on a chest X-ray, enlarged heart outline, accompanied by worsening of heart failure to NYHA II with LVEF, about 30%. In the X-ray description, an enlargement of the left atrium silhouette with local calcifications. The patient underwent TTE, confirming the presence of a pedunculated tumor of the left atrium attached to the ceiling measuring 3.5x3.5x2.2 cm. Due to the ischemic heart disease manifestation patient uderwent coronarography confirming the presence of single-vessel coronary artery disease with changes in the middle segment of the LAD. Patient was treated with CABG LIMA-LAD surgery and removeal the left atrial tumor. Post operation tissue material prooved the preseance of left atrium myxoma. The postoperative course was uneventful, the patient was discharged home.
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Copyright (c) 2022 Erwin Ciechański, Krystian Ciechański, Jarosław Szponar, Piotr Kołątaj, Marcin Szczasny, Andrzej Głowniak, Justyna Szumiło
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