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Revista Uruguaya de Medicina Interna

Print version ISSN 2393-6797On-line version ISSN 2393-6797


ALZATE PIEDRAHITA, John Alexander; DELGADO ARAUJO, Ana Camila; ERASO LANDAZURY, Josie Ximena  and  FRANCO RAMIREZ, Juan Darío. Giant left atrial myxoma as a cause of mitral valve obstruction and severe pulmonary hypertension. Rev. Urug. Med. Int. [online]. 2021, vol.6, n.3, pp.85-92.  Epub Dec 01, 2021. ISSN 2393-6797.

Primary cardiac tumors are rare, accounting for 0.0017-0.03% in autopsy series, occur more frequently among women between the fifth and sixth decade of life. A 74-year-old female patient presented with symptoms of acute coronary syndrome without ST segment elevation and positive troponins. The transthoracic echocardiogram showed the presence of a giant atrial myxoma with an area of 11 cm2, protruding through the mitral valve, a systolic pressure of the pulmonary artery of 110 mmHg and a positive D-dimer result, yielding a diagnosis of a giant left atrial myxoma that causes mitral obstruction and pulmonary hypertension, being referred to another institution for surgical management.

Keywords : Myxoma; pulmonary hypertension; cardiac tumors.

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