Open AccessLeft atrial myxoma with concomitant coronary artery stenosis: comprehensive diagnosis and treatment
Author(s) -
Erwin Ciechański,
Krystian Ciechański,
Jarosław Szponar,
Piotr Kołątaj,
Marcin Szczasny,
Andrzej Główniak,
Justyna Szumiło
Publication year - 2022
Publication title -
journal of education, health and sport
Language(s) - English
Resource type - Journals
ISSN - 2391-8306
DOI - 10.12775/jehs.2022.12.02.008
Subject(s) - medicine , cardiology , myxoma , stenosis , left atrial myxoma , heart failure , coronary artery disease , ejection fraction , artery , concomitant , atrium (architecture) , left atrium , surgery , atrial fibrillation
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.