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| IMAGE IN CARDIOLOGY |
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| Year : 2020 | Volume
: 9
| Issue : 3 | Page : 123-124 |
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Atrial myxoma with malignant appearance and dual arterial supply
Savvy Nandal MBBS , Anastasia Vlachadis Castles MHPEd, BMBS, BRadMedImag (Hons), DipLang , Om Narayan MBBS, FRACP, PhD
Department of Cardiology, The Northern Hospital, Epping, Victoria, Australia
| Date of Submission | 15-Apr-2020 |
| Date of Decision | 16-May-2020 |
| Date of Acceptance | 18-May-2020 |
| Date of Web Publication | 26-Sep-2020 |
Correspondence Address:
Dr. Savvy Nandal
185 Cooper Street, Epping, Victoria, 3076
Australia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/JCPC.JCPC_18_20
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 |
| Case Report | |  |
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 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 | | |
| 1. | Omar H. The value of coronary angiography in the work-up of atrial myxomas. Herz 2015;40:442-6.  |
[Figure 1], [Figure 2], [Figure 3], [Figure 4]
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