Unmasking the Hidden: A Case of Left Atrial Myxoma with Myriad Presentations Initially Overlooked

Cardiac myxomas are the most common primary cardiac tumors and are usually benign. They vary in size and location, with the left atrium (LA) being the most common site, typically attached to the fossa ovalis. Their manifestations range from asymptomatic to severe obstructive cardiac symptoms, emboli...

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Main Authors: Arun B. Shivashankarappa, Pranav S. Kumar, Lakshmana Sridhar, Prasanna Simha Mohan Kumar, Kalpana Saligram Ramegowda, Prabhavathi Bhat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
Subjects:
Online Access:https://journals.lww.com/10.4103/jiae.jiae_25_24
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author Arun B. Shivashankarappa
Pranav S. Kumar
Lakshmana Sridhar
Prasanna Simha Mohan Kumar
Kalpana Saligram Ramegowda
Prabhavathi Bhat
author_facet Arun B. Shivashankarappa
Pranav S. Kumar
Lakshmana Sridhar
Prasanna Simha Mohan Kumar
Kalpana Saligram Ramegowda
Prabhavathi Bhat
author_sort Arun B. Shivashankarappa
collection DOAJ
description Cardiac myxomas are the most common primary cardiac tumors and are usually benign. They vary in size and location, with the left atrium (LA) being the most common site, typically attached to the fossa ovalis. Their manifestations range from asymptomatic to severe obstructive cardiac symptoms, embolic manifestations, or systemic findings, which can often occur without any primary cardiac symptoms. Here is a case of a 48-year-old man who initially presented with ischemic stroke. The myxoma was missed, and he later developed diverse manifestations such as weight loss and anorexia, ultimately presenting with biventricular failure. LA myxoma with biventricular failure is rare. Our patient showed significant improvement in both clinical status and biventricular function following myxoma excision.
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institution Kabale University
issn 2543-1463
2543-1471
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
spelling doaj-art-f787414eca854feaa0a8d0a800032a8e2025-01-12T10:19:33ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712024-12-018318118510.4103/jiae.jiae_25_24Unmasking the Hidden: A Case of Left Atrial Myxoma with Myriad Presentations Initially OverlookedArun B. ShivashankarappaPranav S. KumarLakshmana SridharPrasanna Simha Mohan KumarKalpana Saligram RamegowdaPrabhavathi BhatCardiac myxomas are the most common primary cardiac tumors and are usually benign. They vary in size and location, with the left atrium (LA) being the most common site, typically attached to the fossa ovalis. Their manifestations range from asymptomatic to severe obstructive cardiac symptoms, embolic manifestations, or systemic findings, which can often occur without any primary cardiac symptoms. Here is a case of a 48-year-old man who initially presented with ischemic stroke. The myxoma was missed, and he later developed diverse manifestations such as weight loss and anorexia, ultimately presenting with biventricular failure. LA myxoma with biventricular failure is rare. Our patient showed significant improvement in both clinical status and biventricular function following myxoma excision.https://journals.lww.com/10.4103/jiae.jiae_25_24biventricular failurecardiac myxomaembolic manifestationsobstructive symptoms
spellingShingle Arun B. Shivashankarappa
Pranav S. Kumar
Lakshmana Sridhar
Prasanna Simha Mohan Kumar
Kalpana Saligram Ramegowda
Prabhavathi Bhat
Unmasking the Hidden: A Case of Left Atrial Myxoma with Myriad Presentations Initially Overlooked
Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
biventricular failure
cardiac myxoma
embolic manifestations
obstructive symptoms
title Unmasking the Hidden: A Case of Left Atrial Myxoma with Myriad Presentations Initially Overlooked
title_full Unmasking the Hidden: A Case of Left Atrial Myxoma with Myriad Presentations Initially Overlooked
title_fullStr Unmasking the Hidden: A Case of Left Atrial Myxoma with Myriad Presentations Initially Overlooked
title_full_unstemmed Unmasking the Hidden: A Case of Left Atrial Myxoma with Myriad Presentations Initially Overlooked
title_short Unmasking the Hidden: A Case of Left Atrial Myxoma with Myriad Presentations Initially Overlooked
title_sort unmasking the hidden a case of left atrial myxoma with myriad presentations initially overlooked
topic biventricular failure
cardiac myxoma
embolic manifestations
obstructive symptoms
url https://journals.lww.com/10.4103/jiae.jiae_25_24
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