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Myxomas are the most frequently seen benign cardiac tumor. They mostly originate from interatrial septum. They can lead variable signs and symptoms. Opposite to their benign structure, embolic and obstructive complications can be fatal. Myxomas can rarely lead acute myocardial infarction due to coronary embolism. In this article, we presented a left atrial myxoma case that originated from posterior mitral annulus with simultaneous acute inferoposterior myocardial infarction, severe pulmonary hypertension and dynamic mitral stenosis. The patient was managed with successful percutaneous transluminal coronary angioplasty of the left circumflex artery without stenting and surgical removal of the myxoma consecutively. Pulmonary hypertension dropped significantly in postoperative follow-up

A case of atypically located left atrial myxoma with concomitant acute myocardial infarction and severe pulmonary hypertension