Left atrial myxoma mimicking severe mitral stenosis and severe pulmonary hypertension

Balarabe Aminu, K. Karaye, N. Ishaq, S. Kana, M. Yakasai, M. Sani
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Abstract

Cardiac myxomas are the most commonly encountered benign intracardiac tumors. Although the left atrium is the most commonly involved in majority of cases, myxoma can arise in any cardiac chamber. We present the case of a 53-year-old female with background hypertension, who presented with the features of heart failure and found to have large left atrial myxoma mimicking severe mitral stenosis and severe pulmonary hypertension. She had the excision of the myxoma mass. The case illustrates that atrial myxoma is the diagnosis to keep in view as an occasional cause of cardiac murmur even in a society with a high prevalence of rheumatic valvular heart disease and cardiomyopathies.
左心房黏液瘤表现为严重二尖瓣狭窄和严重肺动脉高压
心脏黏液瘤是最常见的心脏内良性肿瘤。虽然在大多数病例中最常见的是左心房,但粘液瘤可以发生在任何心室。我们报告一例53岁女性高血压患者,她表现为心力衰竭的特征,发现有很大的左心房黏液瘤,类似严重的二尖瓣狭窄和严重的肺动脉高压。她切除了黏液瘤肿块。该病例表明,即使在风湿性心脏瓣膜病和心肌病高发的社会中,心房黏液瘤作为心脏杂音的偶然病因也应加以诊断。
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