Open AccessAcute myocardial infarction not attributed to coronary artery disease: A seldom initial presentation of a left ventricular myxoma
Author(s) -
Spiliopoulos Kyriakos,
Anyfantakis Zacharias A.,
Diminikos Ilias,
Xanthopoulos Andrew,
Magouliotis Dimitrios E.,
Skoularigis John,
Triposkiadis Filippos
Publication year - 2021
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.4029
Subject(s) - medicine , myxoma , myocardial infarction , ventricle , cardiology , coronary artery disease , embolism , electrocardiography in myocardial infarction , radiology , infarction , embolization
Although myxoma represents the most frequent non‐malignant cardiac primary tumor; it is extremely rare met in the left ventricle. Clinical features of the neoplasm extend from symptomless to critical signs of either ischemia or embolism. We describe here an unusual case of a huge left ventricular myxoma in a 68‐year‐old man, presented with clinical and ECG findings of an inferior wall myocardial infarction. The patient was primarily referred to our institution for coronary angiography, which showed no coronary artery disease. Further examinations revealed a left ventricular mass as the possible source of embolization, thus the patient underwent surgery for tumor excision. The postoperative course was unremarkable. A bibliographical analysis demonstrated that those tumors are rare but treatable causes of embolic myocardial infarction, thus profound clinical intuition, proper utilization of imaging modalities, administration of anticoagulants preoperatively, as well immediate surgical removal are justified.