Cardiac Myxoma – Unusual Etiology of Heart Failure: Case Report with Literature Review

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Authors: Dya Pratama Andryan, Bambang Budi Siswanto, Isabelle Deli Lestadi, and Jaipaul Singh
Page Range: 169-175
Published in: World Heart Journal, 15#3 (2023)
ISSN: 1556-4002

Table of Contents

ABSTRACT

Cardiac tumor is a rare condition of space-occupying lesion mass in the cardiac chamber. Most cases are benign, with nearly half of them being cardiac myxoma. At early stages, it is hard to distinguish clinically, sometimes masquerading as chronic heart failure with decreasing functional capacity. This initial presentation case was dyspnea with effort and pretibial edema leading to diagnosis of chronic heart failure. Echocardiography showed a giant mass in the left atrium obstructing mitral inflow, thus mimicking mitral stenosis physiology. Histopathological analysis confirmed left atrial myxoma diagnosis. This case report highlights the importance of early detection and the role of histopathologic analysis in primary cardiac tumor management. It is concluded that surgery is the cornerstone for cardiac tumor management and should be performed as soon as possible.

Keywords: Diagnosis, primary cardiac tumor, left atrial cardiac myxoma, heart

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