- 期刊
- OpenAccess
The 33 months progression of an atrial myxoma
摘要
Introduction: Atrial myxomas are the most common benign primary cardiac tumor. Left atrial myxomas are often associated with symptoms of mitral valve obstruction and embolization as well as constitutional symptoms. Symptoms commonly occur once the tumor has grown greater than five centimeters in diameter. Case Report: A 63-year-old female presented with a mass found on transesophageal echocardiogram. The mass measured 1.8x1.4 cm and was characteristic of an atrial myxoma. The tumor was subsequently followed for 33 months before resection. Conclusion: Current recommendations are immediate surgical resection of cardiac myxoma, regardless of size, due to the risk of embolic events. This case is unique as it allows us to obtain a tumor growth rate. We believe it is important to further investigate atrial myxoma growth rates to determine at which size embolic events become imminent. With greater understanding, medical management may play a larger role in high surgical risk patients.