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Gaceta Médica Boliviana

On-line version ISSN 1012-2966


SEJAS CLAROS, Alfredo; FLORES CHOQUE, Camila Andrea; ALVARADO ZEBALLOS, Mayté  and  AZANERO REYNA, Rubén. Atrial myxoma complicated with severe pulmonary hypertension and decompensated heart failure: case report. Gac Med Bol [online]. 2016, vol.39, n.2, pp.103-106. ISSN 1012-2966.

Atrial myxoma is a rare benign primary cardiac tumor origin which is located mostly in the left atrium. Primary cardiac tumors are rare and myxoma is more your type of presentation. If not resected early evolution leads to serious heart complications and embolization.The case of a myxoma in the left atrium of 21.97 cm2 area protruding through the mitral valve in a patient of 61 years of age with complicated severe pulmonary hypertension and heart failure Decompensated presented. The history of ischemic stroke and echocardiography were key to the suspected diagnosis. Surgical treatment consisted of tumor removal and implantation of a mitral valve prosthesis due to the involvement of this valve. Symptomatology and echocardiographic findings were characteristic of a left atrial myxoma, its evolution and growth led to significant cardiopulmonary complications. The lack of surgical treatment before the diagnosis after the first clinical manifestation affected the development of complications and the need for immediate surgical treatment. The literature reports similar cases of myxoma complicated. In most cases, the evolution is asymptomatic until the tumor develops a considerable size. The success of surgical treatment depends on accurate diagnosis. The management immediately after diagnosis prevents the development of cardiac and neurological complications that endanger the patient’s life.

Keywords : fistula acquired coronary artery; coronary artery disease; coronary anomaly.

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