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Baylor University Medical Center Proceedings
The peer-reviewed journal of Baylor Scott & White Health
Volume 31, 2018 - Issue 3
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Case Studies

Acute heart failure related to a large left atrial myxoma

Giovanni A. ChiarielloCardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, Italy
, MD,
Piergiorgio BrunoCardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, ItalyCorrespondence[email protected]
, MD,
Christian ColizziCardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, Italy
, MD,
Natalia PavoneCardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, Italy
, MD,
Marialisa NestaCardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, Italy
, MD,
Federico CammertoniCardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, Italy
, MD,
Andrea MazzaCardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, Italy
, MD,
Alfredo PosteraroCardiology Unit, San Giovanni Evangelista Hospital, Via Antonio Parrozzani, Tivoli, Rome, Italy
, MD,
Gianluigi PerriCardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, Italy
, MD &
Massimo MassettiCardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, Italy
, MD show all
Pages 331-333 | Received 28 Nov 2017, Accepted 27 Jan 2018, Published online: 09 Apr 2018
 
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ABSTRACT

An association between atrial myxoma and left ventricular failure is rarely described, is not completely understood, and may have multiple etiologies. We present a 49-year-old man with no history of cardiovascular disease who was admitted to our hospital with pulmonary edema. He was in atrial fibrillation with rapid ventricular response. Echocardiography showed a 10.5-cm left atrial myxoma, which had been asymptomatic until the onset of congestive heart failure in the presence of severe left ventricular systolic dysfunction. Left ventricular inflow obstruction associated with the giant atrial mass could not be the only cause for acute heart failure.

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