Clinical presentation and investigation findings in cardiac myxomas: new insights from the developing world

An Unusual Presentation of Left Atrial Myxoma in an Adolescent

“…There are case reports and case series on pediatric patients presenting with LA myxoma but with wide age of presentation varying from 2 years to 17 years of age [9][10][11][12][13][14][15][16]. Even lab parameters were also unusually normal in our case except for only high ESR value, whereas there are studies where laboratory abnormalities (e.g., anemia and elevations in the ESR, C-reactive protein, or globulin level) were present in 35% of cardiac myxoma cases with systemic symptoms [3].…”

“…There were no preceding history of significant constitutional, cardiac or neurological symptoms and signs suggesting clinical picture of cardiac myxoma. Cardiac myxomas presenting as neurological emergency with such a short duration history and normal cardiac findings in adolescent age group are a rare presentation as in most of the studies commonly observed cardiac symptoms and signs are dyspnea, orthopnea, paroxysmal nocturnal dyspnea, pulmonary edema, cough, hemoptysis, edema, fatigue and mid diastolic murmur or tumor plop is a common cardiac finding [2,3]. Constitutional symptoms (e.g., fever, weight loss) are seen in around 30% of patients.…”

Anesthetic Management of a Patient with Atrial Mxyoma Undergoing Non-Cardiac Surgery

“…Atriyal miksomalı bir olguda anestezi yönetimi açı-sından en önemli nokta hipovolemi ve hipervoleminin sebep olduğu pulmoner ödemin önüne geçilmesi ve hemodinamik stabiliteyi bozan nedenleri engelleyerek ciddi aritmileri önlemektir (14,15) .…”

Left atrial myxoma causing severe mitral regurgitation

“…Computed tomography and magnetic resonance imaging can also aid in the diagnosis. 5 Diagnosis of myxoma is itself an indication for surgery. Surgery should be done as soon as possible after the diagnosis since patients are at risk of embolization.…”