Document Detail

Left atrial myxoma presenting with ventricular fibrillation.
MedLine Citation:
PMID:  18301147     Owner:  NLM     Status:  MEDLINE    
Coronary artery embolism with myocardial infarction is a very rare and potentially life-threatening complication of left atrial myxoma. We report the case of a 51-year-old male who presented with chest pain. Whilst awaiting medical review in the emergency department, he collapsed and a cardiac monitor revealed ventricular fibrillation. Following successful resuscitation, a 12-lead electrocardiogram demonstrated anterior myocardial infarction that was initially presumed to be secondary to atheromatous coronary disease. An echocardiogram performed before discharge, however, revealed a mass in the left atrium, which was highly suggestive of a myxoma. His subsequent coronary angiogram demonstrated coronary disease limited to a single lesion within a small first obtuse marginal branch of his circumflex coronary artery. He underwent curative surgery, and histology confirmed the diagnosis of myxoma. We have discussed embolic complications of myxoma and the possible reasons for rarity of coronary embolisation. Emphasis is given to the importance of considering other causes of myocardial infarction in relatively young patients and the important role of early echocardiography following myocardial infarction.
M Nadeem Attar; Roger K Moore; Sarfraz Khan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  9     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-27     Completed Date:  2008-05-15     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  282-4     Citation Subset:  IM    
Department of Cardiology, Royal Preston Hospital, Preston, UK.
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MeSH Terms
Cardiac Surgical Procedures
Diagnosis, Differential
Echocardiography, Transesophageal
Follow-Up Studies
Heart Atria*
Heart Neoplasms / complications,  diagnosis*,  surgery
Middle Aged
Myxoma / complications,  diagnosis*,  surgery
Ventricular Fibrillation / diagnosis,  etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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