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 Table of Contents  
IMAGE IN CARDIOLOGY
Year : 2020  |  Volume : 9  |  Issue : 3  |  Page : 123-124

Atrial myxoma with malignant appearance and dual arterial supply


Department of Cardiology, The Northern Hospital, Epping, Victoria, Australia

Date of Submission15-Apr-2020
Date of Decision16-May-2020
Date of Acceptance18-May-2020
Date of Web Publication26-Sep-2020

Correspondence Address:
Dr. Savvy Nandal
185 Cooper Street, Epping, Victoria, 3076
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCPC.JCPC_18_20

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How to cite this article:
Nandal S, Castles AV, Narayan O. Atrial myxoma with malignant appearance and dual arterial supply. J Clin Prev Cardiol 2020;9:123-4

How to cite this URL:
Nandal S, Castles AV, Narayan O. Atrial myxoma with malignant appearance and dual arterial supply. J Clin Prev Cardiol [serial online] 2020 [cited 2020 Dec 2];9:123-4. Available from: https://www.jcpconline.org/text.asp?2020/9/3/123/296181




  Case Report Top


We present a case of a 67-year-old female with cerebrovascular accident and newly diagnosed atrial fibrillation where cardiac workup including echocardiogram demonstrated a 1.8 cm × 2 cm sessile left atrial mass with internal vascularity, attached to the posterior wall and adjacent to and partially invading the left upper pulmonary vein [[Figure 1] and [Figure 2], Videos 1 and 2]. Coronary angiogram showed a large vascular mass supplied by atrial branches from the left circumflex artery and right coronary artery and extensive contrast flow from the mass into the left atrium [Figure 3] and [Figure 4]. Thereafter, the patient underwent surgical resection where histology demonstrated a benign myxoma requiring extensive patch reconstruction of the left atrium. She was discharged home after an unremarkable postoperative course.
Figure 1: Left atrial myxoma

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Figure 2: Left atrial myxoma with internal vascularity on color Doppler

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Figure 3: Left atrial myxoma supplied by atrial branches from the right coronary artery

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Figure 4: Left atrial myxoma supplied by atrial branches from the left circumflex artery

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Left atrial myxoma blood supply is usually from the left circumflex artery and occasionally from the right coronary artery; left and right coronary arteries supplying myxoma are an uncommon finding.[1] Cardiac myxomas commonly demonstrate some vascularity and benign appearance; however, highly vascular cardiac tumors are usually malignant, making this case of extensively vascular atrial myxoma rare.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Omar H. The value of coronary angiography in the work-up of atrial myxomas. Herz 2015;40:442-6.  Back to cited text no. 1
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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