Circulation. 1996;94:1137
(Circulation. 1996;94:1137.)
© 1996 American Heart Association, Inc.
Cardiac Myxoma
Klaus Reynen, MD;
Werner G. Daniel, MD
the University of Dresden, Dresden, Germany.
Correspondence to Klaus Reynen, MD, Department of Internal Medicine II, University of Dresden, Fetscherstr 74, 01307 Dresden, Germany.
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Introduction
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Top
Introduction
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A 63-year-old woman was admitted because of dyspnea on minor
exertion. Echocardiography uncovered a left atrial tumor measuring
4x5 cm. The diagnosis was confirmed by the transesophageal approach:
the tumor (arrow) arose from the interatrial septum and protruded
into the left ventricle (LV) during diastole (A). Right heart
catheterization revealed moderate pulmonary hypertension: mean
pulmonary artery pressure was increased to 36 mm Hg. The levophase
of a pulmonary artery contrast medium injection unmasked the
tumor (arrows) as a large left atrial filling defect (B). The
tumor was surgically removed (C), and the suspected diagnosis
of left atrial myxoma was histologically confirmed. The polypous
tumor was attached to the interatrial septum by a short stalk
(heavy arrow). Mechanical stress at the apical site led to calcification
(light arrows).
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Footnotes
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The editor of Images in Cardiovascular Medicine is Hugh A. McAllister,
Jr, MD, Chief, Department of Pathology, St Luke's Episcopal
Hospital and Texas Heart Institute, and Clinical Professor of
Pathology, University of Texas Medical School and Baylor College
of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.
Received January 30, 1995;
accepted May 25, 1995.