Unusual presentation of atrial myxoma : a case report and review of the literature

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dc.contributor.authorJaravaza, Diana Rufaroen_ZA
dc.contributor.authorLalla, Ushaen_ZA
dc.contributor.authorZaharie, Stefan Danen_ZA
dc.contributor.authorDe Jager, Louis Johannen_ZA
dc.date.accessioned2021-04-09T07:10:58Z
dc.date.available2021-04-09T07:10:58Z
dc.date.issued2021
dc.descriptionCITATION: Jaravaza, D. R., et al. 2021. Unusual presentation of atrial myxoma : a case report and review of the literature. American Journal of Case Reports, 22:e931437, doi:10.12659/AJCR.931437.
dc.descriptionThe original publication is available at https://www.amjcaserep.com
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund
dc.description.abstractBACKGROUND: Although rare, atrial myxoma is the most common benign cardiac tumor. The recognized triad of presenting symptoms relates to constitutional, embolic, and obstructive effects produced by the tumor. However, the presentation may be non-specific and mimic other diseases, confounding diagnosis. CASE REPORT: A middle-aged woman presented with wheezing and shortness of breath. With a strong background smoking history, the initial impression was that of acute bronchospasm. She however deteriorated rapidly, with decreased consciousness and cardiac arrest requiring resuscitation. Despite intensive care management, she died within 1 day of admission. Autopsy revealed a previously undiagnosed left atrial myxoma with coronary and systemic embolization. CONCLUSIONS: This case highlights an unusual presentation of atrial myxoma, resulting in fatal simultaneous embolization to the coronary and cerebral arteries. This simultaneous embolic presentation is not common, but the potential consequences are serious. This report also demonstrates that the presentation of a left-sided atrial myxoma with cardiac asthma can mimic respiratory disease and confound diagnosis. In adult patients without a history of chronic respiratory disease, the possibility of cardiac asthma should always be entertained. Furthermore, the importance of considering atrial myxoma as a cause for cardiac asthma is emphasized. The use of transthoracic echocardiogram in aiding the rapid diagnosis of atrial myxoma is recommended. Finally, the continued acknowledgement of the important contribution the academic autopsy makes in complementing and improving clinical practice remains imperative.en_ZA
dc.description.urihttps://www.amjcaserep.com/abstract/index/idArt/931437
dc.description.versionPublisher's version
dc.format.extent8 pagesen_ZA
dc.identifier.citationJaravaza, D. R., et al. 2021. Unusual presentation of atrial myxoma : a case report and review of the literature. American Journal of Case Reports, 22:e931437, doi:10.12659/AJCR.931437
dc.identifier.issn1941-5923 (online)
dc.identifier.otherdoi:10.12659/AJCR.931437
dc.identifier.urihttp://hdl.handle.net/10019.1/109747
dc.language.isoen_ZAen_ZA
dc.publisherInternational Scientific Informationen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectAtrial myxomaen_ZA
dc.subjectMyocardial infarction -- Diagnosisen_ZA
dc.subjectCardiology -- Myxomaen_ZA
dc.titleUnusual presentation of atrial myxoma : a case report and review of the literatureen_ZA
dc.typeArticleen_ZA
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