Skip to main content

Advertisement

SpringerLink
Log in

Left atrial myxoma associated with acute myocardial infarction and multiple cerebral infarctions: Report of a case

  • Case Report
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

We report a case of left atrial myxoma associated with acute myocardial infarction (AMI) in a 63-year-old man. Percutaneous coronary intervention was performed immediately, and we removed white intracoronary particles by using a thrombectomy catheter. The postinterventional course was uneventful; however, on hospital day 5, pathological examination revealed platelet thrombus and myxomatous tissue from the particles aspirated by thrombectomy catheter, and transesophageal echocardiography showed a gelatinous mass in the left atrium. Based on these findings, we diagnosed AMI caused by coronary embolization from a left atrial myxoma, and excision of the myxoma was scheduled. However, preoperative magnetic resonance imaging revealed multiple subacute cerebral infarctions, and the tumor was successfully excised on hospital day 13. Although coronary embolization induced by cardiac myxoma is rare, it should be considered in a young to middle-aged patient presenting with signs of AMI without coronary risk factors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Reynen K. Cardiac myxomas. N Engl J Med 1995;333(24):1610–1617.

    Article  CAS  PubMed  Google Scholar 

  2. Reynen K. Frequency of primary tumors of the heart. Am J Cardiol 1996;77(1):107.

    Article  CAS  PubMed  Google Scholar 

  3. Van Trigt P, Sabiston DC. Tumors of the heart. In: Sabiston DC, Spencer FC, editors. Surgery of the chest. 6th ed. Philadelphia: Saunders; 1995. p. 2609–2688.

    Google Scholar 

  4. Silverman J, Olwin JS, Graettinger JS. Cardiac myxomas with systemic embolization. Review of the literature and report of a case. Circulation 1962;26:99–103.

    CAS  PubMed  Google Scholar 

  5. Heath D. Pathology of cardiac tumors. Am J Cardiol 1968;21(3):315–327.

    Article  CAS  PubMed  Google Scholar 

  6. Karimi A, Ahmadi H, Davoodi S, Movahedi N, Marzban M, Abbasi K, et al. Factors affecting postoperative morbidity and mortality in isolated coronary artery bypass graft surgery. Surg Today 2008;38(10):890–898.

    Article  PubMed  Google Scholar 

  7. Fuster V, Badimon L, Badimon JJ, Chesebro JH. The pathogenesis of coronary artery disease and the acute coronary syndrome (1). N Engl J Med 1992;326(5):242–250.

    CAS  PubMed  Google Scholar 

  8. Panos A, Kalangos A, Sztajzelb J. Left atrial myxoma presenting with myocardial infarction. Case report and review of the literature. Int J Cardiol 1997;62(1):73–75.

    Article  CAS  PubMed  Google Scholar 

  9. Wenger NK, Bauer S. Coronary embolism: review of the literature and presentation of fifteen cases. Am J Med 1958;25(4):549–557.

    Article  CAS  PubMed  Google Scholar 

  10. Romister SC, Cannon LA, Davakis N. Atrial myxoma associated with inferior myocardial infarction. Ann Emerg Med 1991;20(11):1236–1238.

    Article  Google Scholar 

  11. Lehrman KL, Prozan GB, Ullyot D. Atrial myxoma presenting as acute myocardial infarction. Am Heart J 1985;110(6):1293–1295.

    Article  CAS  PubMed  Google Scholar 

  12. Rath S, Har-Zahav Y, Battler A, Agranat O, Neufeld HN. Coronary arterial embolus from left atrial myxoma. Am J Cardiol 1984;54(10):1392–1393.

    Article  CAS  PubMed  Google Scholar 

  13. Hashimoto H, Takahashi H, Fujiwara Y, Joh T, Tomino T. Acute myocardial infarction due to coronary embolization from atrial myxoma. Jpn Circ J 1993;57(10):1016–1020.

    CAS  PubMed  Google Scholar 

  14. Soejima Y, Niwa A, Tanaka M, Doi M, Nitta M, Takamoto T, et al. A left atrial myxoma complicated with acute myocardial infarction. Intern Med 1997;36(1):31–34.

    Article  CAS  PubMed  Google Scholar 

  15. Sakai K, Inoue K, Nobuyoshi M. Aspiration thrombectomy of a massive thrombotic embolus in acute myocardial infarction caused by coronary embolism. Int Heart J 2007;48(3):387–392.

    Article  PubMed  Google Scholar 

  16. Goswami KC, Shrivastava S, Bahl VK, Safena A, Manchanda SC, Wasir HS. Cardiac myxomas-clinical and echocardiographic profile. Int J Cardiol 1998;63(3):251–259.

    Article  CAS  PubMed  Google Scholar 

  17. Ha JW, Kang WC, Chung N, Chang BC, Rim SJ, Kwon JW, et al. Echocardiographic and Morphologic characteristics of left atrial myxoma and their relation to systemic embolism. Am J Cardiol 1999;83(11):1579–1582.

    Article  CAS  PubMed  Google Scholar 

  18. Maruyama M, Kuriyama Y, Sawada T, Yamaguchi T, Fujita T, Omae T. Brain damage after open heart surgery in patients with acute cardioembolic stroke. Stroke 1989;20(10):1305–1310.

    CAS  PubMed  Google Scholar 

  19. Tanabe J, Williams RL, Diethrich EB. Left atrial myxoma: association with acute coronary embolization in an 11-year-old boy. Pediatrics 1979;63(5):778–781.

    CAS  PubMed  Google Scholar 

  20. Balk AH, Wagenaar SS, Bruschke AV. Bilateral cardiac myxomas and peripheral myxomas in a patient with recent myocardial infarction. Am J Cardiol 1979;44(4):767–770.

    Article  CAS  PubMed  Google Scholar 

  21. Hoad NA, Foulds JS. Fortuitous discovery of a left atrial myxoma following acute myocardial infarction. J R Army Med Corps 1987;133(1):13–15.

    CAS  PubMed  Google Scholar 

  22. Namura M, Kanaya H, Sanada H, Tsuchiya T, Ohka T. Left atrial myxoma presenting as acute myocardial infarction. Jpn J Med 1990;29(5):537–541.

    CAS  PubMed  Google Scholar 

  23. Aftabuddin M, Islam N, Alimuzzaman M. Acute myocardial infarction: A complication of left atrial myxoma. Indian J Chest Dis Allied Sci 1995;37(1):31–33.

    CAS  PubMed  Google Scholar 

  24. Isobe N, Kanda T, Sakamoto H, Morishita Y, Suzuki T, Kobayashi I. Myocardial infarction in myxoma patients with normal coronary arteries. Case reports. Angiology 1996;47(8):819–823.

    Article  CAS  PubMed  Google Scholar 

  25. Saldanha R, Srikrishna SV, Shetty N, Shenthar J, Nayak PR. Surgical management of left ventricular myxoma with Embolization to the right coronary artery. Tex Heart Inst J 1996;23(3):230–232.

    CAS  PubMed  Google Scholar 

  26. Vivian MA, John K, Gabriel A, Ravin D. Left atrial myxoma and acute myocardial infarction. Chest 1996;109(4):1106–1108.

    Article  Google Scholar 

  27. Isomatsu Y, Nishiya Y, Hoshino S, Hara M, Tsukui H. Left atrial myxoma associated with acute myocardial infarction. Jpn J Thorac Cardiovasc Surg 1999;47(9):452–454.

    CAS  PubMed  Google Scholar 

  28. Toth C, Lengyel M. Acute myocardial infarction as first manifestation of left atrial myxoma. Acta Cardiol 2002;57(5):365–366.

    Article  PubMed  Google Scholar 

  29. Durgut K, Goormüs N, Ozulku M, Ozergin U, Ozpinar C. Clinical features and surgical treatment of cardiac myxoma: report of 18 cases. Asian Cardiovasc Thorac Ann 2002;10(2):111–114.

    PubMed  Google Scholar 

  30. Sachithanandan A, Badmanaban B, McEneaney D, MacGowan SW. Left atrial myxoma presenting with acute myocardial infarction. Eur J Cardiothorac Surg 2002;21(3):543.

    Article  PubMed  Google Scholar 

  31. Mesut D, Onur A, Esmeray A. Atrial myxoma. An unusual cause of myocardial infarction. Tex Heart Inst J 2005;32(3):445–447.

    Google Scholar 

  32. Ozaydin M, Dogan A, Altinbas A. Left atrial myxoma presenting with acute myocardial infarction — a case report. Angiology 2005;56(6):767–769.

    Article  PubMed  Google Scholar 

  33. Braun S, Schrötter H, Reynen K, Schwencke C, Strasser RH. Myocardial infarction as complication of left atrial myxoma. Int J Cardiol 2005;101(1):115–121.

    Article  CAS  PubMed  Google Scholar 

  34. Yavuz T, Peker O, Ocal A, Ibrisim E. Left atrial myxoma associated with acute myocardial infarction. Int J Cardiovasc Imaging 2005;21(2–3):235–238.

    Article  PubMed  Google Scholar 

  35. Sankar NM, Vaidyanathan RK, Prasad GN, Cherian KM. Left atrial myxoma presenting as acute inferior wall infarction — a case report. J Card Surg 2006;21(5):478–479.

    Article  PubMed  Google Scholar 

  36. Patanè S, Marte F, Di Bella G. Revelation of left atrial myxoma during acute myocardial infarction. Int J Cardiol 2008;128(1):134–136.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan

    Naoki Konagai & Masaaki Cho

  2. Second Department of Surgery, Tokyo Medical University, Tokyo, Japan

    Hiroshi Shigematsu

  3. Tokyo Vascular Clinic, Shinjuku Kokusai Building, Shinkan 601-2, 6-6-3 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan

    Naoki Konagai

Authors
  1. Naoki Konagai
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Masaaki Cho
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hiroshi Shigematsu
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Konagai, N., Cho, M. & Shigematsu, H. Left atrial myxoma associated with acute myocardial infarction and multiple cerebral infarctions: Report of a case. Surg Today 40, 1159–1163 (2010). https://doi.org/10.1007/s00595-009-4198-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-009-4198-z

Key words

Search

Navigation