Acute Pulmonary Edema Caused by a Giant Atrial Myxoma

Atrial myxoma is the most common primary cardiac tumor. Its clinical presentation spreads from asymptomatic incidental mass to serious life-threatening cardiovascular complications. We report the case of a 44-year-old man with evening fever and worsening dyspnea in the last weeks, admitted to our ho...

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Bibliographic Details
Published in:Case Reports in Medicine 2013-01, Vol.2013 (2013), p.117-119-230
Main Authors: Fisicaro, Andrea, Slavich, Massimo, Agricola, Eustachio, Marini, Claudia, Margonato, Alberto
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case studies
Complications and side effects
Diagnosis
Myxoma
Pulmonary edema
Risk factors
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Summary:Atrial myxoma is the most common primary cardiac tumor. Its clinical presentation spreads from asymptomatic incidental mass to serious life-threatening cardiovascular complications. We report the case of a 44-year-old man with evening fever and worsening dyspnea in the last weeks, admitted to our hospital for acute pulmonary edema. The cardiac auscultation was very suspicious for mitral valve stenosis, but the echocardiography revealed a huge atrial mass with a diastolic prolapse into mitral valve orifice causing an extremely high transmitral gradient pressure. Awareness of this uncommon acute presentation of atrial myxoma is necessary for timely diagnosis and prompt surgical intervention.
ISSN:1687-9627
1687-9635
DOI:10.1155/2013/904952