Left atrial myxoma revealed by anemia in young woman
Bertrand Ellenga Mbolla1, Philippe Grieu2, Vladimir Saplacan3, Dara Sen2 1 Department of Cardiology, Robert Bisson Hospital, 14100 Lisieux, France; Department of Cardiology, Teaching Hospital of Brazzaville, Marien Ngouabi University, Brazzaville, Congo 2 Department of Cardiology, Robert Bisson Hospital, 14100 Lisieux, France 3 Department of Cardiac Surgery, University Hospital of Caen, 14033 Caen Cedex 09, France
Date of Web Publication
26-Oct-2017
Correspondence Address: Bertrand Ellenga Mbolla Department of Cardiology, Teaching Hospital of Brazzaville, BP 13400 Brazzaville, Congo
Source of Support: None, Conflict of Interest: None
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DOI: 10.4103/njc.njc_21_17
How to cite this article: Mbolla BE, Grieu P, Saplacan V, Sen D. Left atrial myxoma revealed by anemia in young woman. Nig J Cardiol 2017;14:122
How to cite this URL: Mbolla BE, Grieu P, Saplacan V, Sen D. Left atrial myxoma revealed by anemia in young woman. Nig J Cardiol [serial online] 2017 [cited 2023 May 30];14:122. Available from: https://www.nigjcardiol.org/text.asp?2017/14/2/122/217274
Sir,
Myxoma is a benign heart tumor, whose incidence is higher in women.[1] The mode of revelation is often a cardiovascular complication.[1],[2] It is located mostly in the left atrium (LA).
The authors report a case of LA myxoma, revealed by anemia.
A 44-year-old female, with no medical history, was consulted for the dyspnea during minor physical efforts and asthenia. Biological tests objectify anemia (hemoglobin was 9.1 g/dL) and the rest of the biological parameters was normal. The complete body computed tomography scan showed the intracardiac mass. The elctrocardiogram was normal. In echocardiography, the left ventricle was normal, and the ejection fraction was 60%. We noted a left intraatrial mass of 7 cm length and 4 cm width, the surface was 25 cm 2 or 80% of the LA [Figure 1]. This mass revealing a myxoma of LA. The mass was very mobile, calcified, and interlocking with diastolic mitral without clogging (video available on: www.nigjcardiol.org). The right ventricle and right atrium were not dilated, and the pulmonary arterial pressures are not increased. Surgical resection has objectified a myxoma whose diameter was 8 cm [Figure 1]. The postoperative course was uneventful.
Figure 1: (1) Left atrial mass, view in parasternal long axe; (2) view in apical 4 cavities; (3) systolic function; (4) view of the myxoma after surgical extract
Anemia is one of the causes of discovery myxoma.[1],[3] The revelation of this mass is sometimes fortuitous, and the most frequent modes of discovery are cardiac or embolic complications,[1],[2] mainly heart failure and stroke.[1] Its treatment is surgical, and postoperative are often simple, apart from preexisting complications.[1]
Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore) 2001;80:159-72. [PUBMED]
Citro R, Masiello P, Bossone E, Provenza G, Mastrogiovanni G, Baldi C, et al. Giant left atrial myxoma: An unusual cause of acute pulmonary edema. J Am Soc Echocardiogr 2008;21:978.e1-3.
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