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Current Research: Cardiology

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Adeseye Abiodun Akintunde MBChB FWACP FMCP FACC FESC1,2*
 
1 Department of Goshen Heart Clinic, Osogbo, Nigeria
2 Department of Medicine, Ladoke Akintola University of Technology, (LAUTECH) & LAUTECH Teaching Hospital, Ogbomoso, Nigeria
 
*Correspondence: Dr. Adeseye Abiodun Akintunde, Department of Goshen Heart Clinic, PO Box 3238, Osogbo, Nigeria,

, DOI: 10.4172/2368-0512.1000068

Citation: AA Akintunde. Giant left atrial myxoma presenting with heart failure and pulmonary hypertension in a middle-age Nigerian man. Curr Res Cardiol 2016;3(3):60-62.

This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact [email protected]

Abstract

Atrial myxomas are the most common benign tumour of the heart. They progressively grow in size, varying from 2 cm to 6 cm, based on previous reports. They can mimic mitral stenosis when they block the mitral valve outlet, and present with right heart dysfunction and pulmonary hypertension. Atrial myxomas are usually associated with a good prognosis when resected. Echocardiography is the primary clinical diagnostic modality, confirmation is by histopathology while surgery remains the mainstay of definitive therapy. The author presents a case involving a 54-year-old man with a history consistent with biventricular heart failure. Echocardiography revealed a giant left atrial homogeneous mass (6.8 cm × 5.9 cm) filling the massively dilated left atrium and protruding with systole into the mitral valve opening. Pulmonary hypertension was also present. Electrocardiography revealed left atrial enlargement, isolated frequent ventricular premature complexes, right axis deviation, left ventricular hypertrophy and diffuse T wave abnormalities. The patient was managed conservatively and is presently awaiting surgical intervention. Giant left atrial myxoma presenting with pulmonary hypertension can be an etiology of heart failure among Black Africans. Appropriate clinical history and investigations are advised when managing heart failure subjects to identify potential etiologies that have the potential for cure.

 
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Citations : 124

Current Research: Cardiology received 124 citations as per Google Scholar report

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Current Research: Cardiology
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