<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2393-6797</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Medicina Interna ]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Urug. Med. Int.]]></abbrev-journal-title>
<issn>2393-6797</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Medicina Interna del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2393-67972021000300085</article-id>
<article-id pub-id-type="doi">10.26445/06.03.8</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mixoma auricular izquierdo gigante como causa de obstrucción de la válvula mitral e hipertensión pulmonar severa.]]></article-title>
<article-title xml:lang="en"><![CDATA[Giant left atrial myxoma as a cause of mitral valve obstruction and severe pulmonary hypertension.]]></article-title>
<article-title xml:lang="pt"><![CDATA[Mixoma atrial esquerdo gigante como causa de obstrução da válvula mitral e hipertensão pulmonar grave.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alzate Piedrahita]]></surname>
<given-names><![CDATA[John Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado Araújo]]></surname>
<given-names><![CDATA[Ana Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Eraso Landázury]]></surname>
<given-names><![CDATA[Josie Ximena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco Ramírez]]></surname>
<given-names><![CDATA[Juan Darío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Tecnológica de Pereira Hospital Universitario San Jorge de la Ciudad de Pereira ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>6</volume>
<numero>3</numero>
<fpage>85</fpage>
<lpage>92</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2393-67972021000300085&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2393-67972021000300085&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2393-67972021000300085&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Los tumores cardíacos primarios son raros, representan el 0.0017-0.03% en grandes series de autopsias, ocurren con mayor frecuencia entre mujeres en la quinta o sexta década de la vida y generalmente se desarrollan en las aurículas. Se presenta el caso clínico de una paciente de sexo femenino de 74 años que consulta a urgencias con sospecha de síndrome coronario agudo sin elevación del segmento ST y troponinas positivas. El ecocardiograma transtorácico evidenció la presencia de un mixoma auricular gigante con área de 11 cm2, que protruye a través de la válvula mitral, una presión sistólica de la arteria pulmonar de 110 mmHg y un resultado de dímero D positivo dando como diagnóstico un mixoma auricular izquierdo gigante que causa obstrucción mitral e hipertensión pulmonar, el cual fue remitido a otra institución para manejo quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: 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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Os tumores cardíacos primários são raros, representam o 0,0017-0,03% em grandes séries de autópsias, ocorrem mais frequentemente entre mulheres na quinta ou sexta década de vida e geralmente se formam nos átrios. Apresentamos o caso de uma paciente do sexo feminino de 74 anos, que apresentou sintomas de síndrome coronário agudo sem elevação do segmento ST e troponinas positivas. O ecocardiograma transtorácico revelou a presença de um mixoma atrial gigante com área de 11 cm2 projetando-se através da válvula mitral, uma pressão sistólica de artéria pulmonar de 110 mmHg e um resultado de D-dímero positivo, dando o diagnóstico de um mixoma atrial esquerdo gigante causando obstrução mitral e hipertensão pulmonar, que foi encaminhado para outra instituição para manejo cirúrgico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mixoma]]></kwd>
<kwd lng="es"><![CDATA[hipertensión pulmonar]]></kwd>
<kwd lng="es"><![CDATA[tumores cardíacos]]></kwd>
<kwd lng="en"><![CDATA[Myxoma]]></kwd>
<kwd lng="en"><![CDATA[pulmonary hypertension]]></kwd>
<kwd lng="en"><![CDATA[cardiac tumors]]></kwd>
<kwd lng="pt"><![CDATA[Mixoma]]></kwd>
<kwd lng="pt"><![CDATA[hipertensão pulmonar]]></kwd>
<kwd lng="pt"><![CDATA[tumores cardíacos]]></kwd>
</kwd-group>
</article-meta>
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