Left atrial myxoma mimicking coronary artery disease: a case report

Tekin Yıldırım¹, Hakan Kınıklıoğlu², Orhan Fındık², Fatma Mine Öz³, Nuri Kurtoğlu⁴, Ahmet Ragıp Hamulu²

¹Göztepe Şafak Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul
²Maltepe Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul
³Göztepe Şafak Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği,İstanbul
⁴Göztepe Şafak Hastanesi, Kardiyoloji Kliniği, İstanbul

Coronary embolization from left atrial myxomas is a rare and mortal complication when it occured. Seventy-five year old man, after four months of a successful percutaneous transluminal coronary angioplasty intervention to the lesion having thrombus on his left anterior descending coronary artery; was readmitted with the symptoms of embolization to the central nervous system, left atrial myxoma was detected. Myxoma was extirpated succesfully surgical resection. Diagnosis of the myxoma was confirmed by pathological assessment. It was concluded that, embolization to coronary artery system and after that central nervous system was resulted from tumoral tissue itself or formation of thrombi on this tumoral tissue.

Keywords : Coronary angiography; coronary disease/diagnosis/etiology; echocardiography; embolism; heart neoplasms/complications/ pathology; myxoma/complications

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