LV myxoma on Real-time 3DTTE in a young patient with dilated cardiomyopathy and apical thrombus

Abstract

A 31 year old man patient presented by dyspnea for one month, no past history of heart disease had been noted. Physical examination detected 3rd gallop sound, sinus tachycardia and LVH were revealed on his ECG. Chest X ray showed a cardiomegaly with enlarged LV arch. Routine 2DTTE demonstrated enlarged LV and severely reduced EF. 2DTTE completed by 3DTTE visualized a LV myxoma that was attached to the posterior IVS next to apical area, hypermobile, pedunculated and excrescential. The risk of embolic events is very high. Regarding the severe heart failure, patient was followed up with medical treatment of heart failure and anticoagulant use