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Coronary artery thromboembolism: Unexpected presentation of left atrial myxoma covered with thrombus
Author(s) -
Uysal Samet,
Karakoc Ayse Zehra,
Biyikli Kadir,
Erden Benay,
Candan Ozkan,
Gecmen Gonca Gul
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14830
Subject(s) - medicine , myxoma , cardiology , thrombus , myocardial infarction , embolism , left atrial myxoma , atrial fibrillation , presentation (obstetrics) , artery , radiology , left atrium
Cardiac myxomas are benign primer cardiac tumors of the heart. They can be fatal with a thromboembolic presentation. Myocardial infarction is one of these unusual thromboembolic presentations. We report a patient who presented with cardiac arrest due to ventricular fibrillation related to myocardial infarction. After successful resuscitation, coronary angiography and transthoracic echocardiography were performed. A left atrial mass was observed and interpreted as a possible cause of coronary embolism leading to myocardial infarction. After surgical excision, the pathological examination confirmed myxoma, which was the essential cause of the tendency to arterial embolism.