Left Ventricular Myxoma Producing Cardiac Failure

Authors

  • Erdal Simsek
  • Serkan Durdu
  • Bledar Hodo
  • Levent Yazicioglu
  • Adnan Uysalel

DOI:

https://doi.org/10.1532/HSF98.20121063

Abstract

Introduction: Seventy-five percent of primary cardiac tumors are benign, and most are myxomas. Seventy-five percent of myxomas originate from the left atrium, and 2.5% arise from the left ventricle. Heart failure is a rare complication of myxoma.

Case: A 54-year-old male patient with chronic obstructive pulmonary disease was admitted to the pulmonology department with a diagnosis of pneumonia and congestive heart failure during hospitalization. An echocardiography evaluation revealed a mobile mass (3.3 cm X 1.2 cm) in the left ventricle. The measured ejection fraction was 22%. Transthoracic and transesophageal echocardiography and magnetic resonance imaging examinations confirmed the presence of a myxoma in the left ventricle. The myxoma was a hanging mass with a stalk on the interventricular septum near the anterior mitral valve annulus. We visualized the gelatinous fragile mass on the septum; we then extracted the myxoma via a transaortic approach with the patient on cardiopulmonary bypass. The patient was discharged 10 days after surgery.

Discussion: Myxoma is treated by early surgical resection because of the potential for serious complications. Left ventricular myxomas have been reported to lead to a silent heart failure. This case is important because of its location and the patient's resultant heart failure.

References

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Published

2013-02-25

How to Cite

Simsek, E., Durdu, S., Hodo, B., Yazicioglu, L., & Uysalel, A. (2013). Left Ventricular Myxoma Producing Cardiac Failure. The Heart Surgery Forum, 16(1), E57-E59. https://doi.org/10.1532/HSF98.20121063

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