Giant Left Atrial Myxoma Masquerading as Cough-Syncope Syndrome

Giant Left Atrial Myxoma Masquerading as Cough-Syncope Syndrome

Left atrial myxomas are the most common type of benign primary cardiac tumor. Patients can present with generalized symptoms, such as fatigue, symptoms from obstruction of the myxoma, or even embolization of the myxoma causing distal thrombosis. We describe a case with several-month duration of sync...

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Main Authors: Jennifer N. Bowman MD, Jennifer M. Treece MD MBA, Pradnya Brijmohan Bhattad, Melania Bochis MD, Kailash Bajaj MD
Format: Article
Language:English
Published: SAGE Publishing 2017-08-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709617724177
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spelling doaj-e8ddb33313fb4df695277cecd59f0d712020-11-25T02:47:51ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962017-08-01510.1177/2324709617724177Giant Left Atrial Myxoma Masquerading as Cough-Syncope SyndromeJennifer N. Bowman MD0Jennifer M. Treece MD MBA1Pradnya Brijmohan Bhattad2Melania Bochis MD3Kailash Bajaj MD4East Tennessee State University and James H. Quillen College of Medicine, Johnson City, TN, USAEast Tennessee State University and James H. Quillen College of Medicine, Johnson City, TN, USAGrant Government Medical College and Sir J. J. Group of Hospitals, Mumbai, IndiaEast Tennessee State University and James H. Quillen College of Medicine, Johnson City, TN, USAEast Tennessee State University and James H. Quillen College of Medicine, Johnson City, TN, USALeft atrial myxomas are the most common type of benign primary cardiac tumor. Patients can present with generalized symptoms, such as fatigue, symptoms from obstruction of the myxoma, or even embolization of the myxoma causing distal thrombosis. We describe a case with several-month duration of syncopal episodes that occurred after coughing and with exertion. Computed tomography of the chest showed a 6.1 cm by 4.5 cm mass in the left atrium, later evaluated with an echocardiogram. Cardiothoracic surgery removed the mass, and it was determined to be an atrial myxoma. It is important for an internist to be able to diagnose an atrial myxoma because of the risks associated with embolization and even sudden death as myxoma can block blood supply from atrium to ventricle.https://doi.org/10.1177/2324709617724177
collection DOAJ
language English
format Article
sources DOAJ
author Jennifer N. Bowman MD
Jennifer M. Treece MD MBA
Pradnya Brijmohan Bhattad
Melania Bochis MD
Kailash Bajaj MD
spellingShingle Jennifer N. Bowman MD
Jennifer M. Treece MD MBA
Pradnya Brijmohan Bhattad
Melania Bochis MD
Kailash Bajaj MD
Giant Left Atrial Myxoma Masquerading as Cough-Syncope Syndrome
Journal of Investigative Medicine High Impact Case Reports
author_facet Jennifer N. Bowman MD
Jennifer M. Treece MD MBA
Pradnya Brijmohan Bhattad
Melania Bochis MD
Kailash Bajaj MD
author_sort Jennifer N. Bowman MD
title Giant Left Atrial Myxoma Masquerading as Cough-Syncope Syndrome
title_short Giant Left Atrial Myxoma Masquerading as Cough-Syncope Syndrome
title_full Giant Left Atrial Myxoma Masquerading as Cough-Syncope Syndrome
title_fullStr Giant Left Atrial Myxoma Masquerading as Cough-Syncope Syndrome
title_full_unstemmed Giant Left Atrial Myxoma Masquerading as Cough-Syncope Syndrome
title_sort giant left atrial myxoma masquerading as cough-syncope syndrome
publisher SAGE Publishing
series Journal of Investigative Medicine High Impact Case Reports
issn 2324-7096
publishDate 2017-08-01
description Left atrial myxomas are the most common type of benign primary cardiac tumor. Patients can present with generalized symptoms, such as fatigue, symptoms from obstruction of the myxoma, or even embolization of the myxoma causing distal thrombosis. We describe a case with several-month duration of syncopal episodes that occurred after coughing and with exertion. Computed tomography of the chest showed a 6.1 cm by 4.5 cm mass in the left atrium, later evaluated with an echocardiogram. Cardiothoracic surgery removed the mass, and it was determined to be an atrial myxoma. It is important for an internist to be able to diagnose an atrial myxoma because of the risks associated with embolization and even sudden death as myxoma can block blood supply from atrium to ventricle.
url https://doi.org/10.1177/2324709617724177
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