True,
cardiac myxoma is a benign tumor. On the other hand, it is serious by its
complications, in particular embolic. The diagnosis of acute coronary syndrome
in connection with a myxoma of the left atrium is retained before the
association of an emboligenic intracardiac myxoma and an acute coronary
syndrome in the absence of atherosclerotic lesions and the absence of
intracardiac thrombus. We report a case of left atrium myxoma complicated by acute
coronary syndrome in a 50-year-old patient operated on in our department and we
will review the literature.
References
[1]
Lam, K.Y.L., Dickens, P. and Chan, A.C.L. (1993) Tumors of the Heart. Archives of Pathology & Laboratory Medicine, 117, 1027-1031.
[2]
Shavit, L., Appelbaum, L. and Grenader, T. (2007) Atrial Myxoma Presenting with Total Occlusion of the Abdominal Aorta and Multiple Peripheral Embolism. European Journal of Internal Medicine, 18, 74-75. https://doi.org/10.1016/j.ejim.2006.04.020
[3]
Braun, S., Schrotter, H., Reynen, K., Schwencke, C. and Strasser, R.H. (2005) Myocardial Infarction as Complication of Left Atrial Myxoma. International Journal of Cardiology, 101, 115-121. https://doi.org/10.1016/j.ijcard.2004.08.047
[4]
Pinede, L., Duhaut, P. and Loire, R. (2001) Clinical Presentation of Left Atrial Cardiac Myxoma: A Series of 112 Consecutive Cases. Medicine (Baltimore), 80, 159-172. https://doi.org/10.1097/00005792-200105000-00002
[5]
Silverman, J., Olwin, J. and Graettinger, J. (1962) Cardiac Myxomas with Systemic Embolization. Circulation, 26, 99-103. https://doi.org/10.1161/01.CIR.26.1.99
[6]
Kamata, S., Kawada, T., Kikuchi, K., Miyamoto, S., Nishimura, K., Endo, S., et al. (1996) Clinical Analysis of Embolism with Left Atrial Myxomas. Kyobu Geka, 49, 297-300.
[7]
Bayir, H., Morelli, P.J., Smith, T.H. and Biancaniello, T.A. (1999) A Left Atrial Myxoma Presenting as a Cerebrovascular Accident. Pediatric Neurology, 21, 69-72. https://doi.org/10.1016/S0887-8994(99)00024-7
[8]
Ha, J.-W., Kang, W.-C., Chung, N., Cho, B.-C., Rim, S.-J., Kwon, J.-W., et al. (1999) Echokardiographic and Morphologic Characteristics of Left Atrial Myxoma and Their Relation to Systemic Embolism. American Journal of Cardiology, 83, 1579-1582. https://doi.org/10.1016/S0002-9149(99)00156-3
[9]
Patanè, S., Marte, F. and Di Bella, G. (2008) Revelation of Left Atrial Myxoma during Acute Myocardial Infarction. International Journal of Cardiology, 128, 134-136. https://doi.org/10.1016/j.ijcard.2007.06.033
[10]
Kosuga, T., Fukunaga, S., Kawara, T., et al. (2002) Surgery for Primary Cardiac Tumors: Clinical Experience and Surgical Results in 60 Patients. The Journal of Cardiovascular Surgery, 43, 581-587.
