Giant Left Atrial Myxoma Causing Arthralgia and Fever

Yıl 2013, Cilt: 14 Sayı: 1, 47 - 50, 01.04.2013

Ahmet Huyut , Çağdaş Akgüllü Ufuk Eryılmaz

Öz

Myxoma, which is the most common primary tumour of the heart, is commonly located in the left atrium.
Although intra cardiac myxomas are histologically benign, they may be the source of cerebrovascular emboli,
cause of mitral stenosis and nonspecific systemic complaints like fever and arthralgia. A55-year-old woman was
followed by rheumatology clinic because of sub-febrile fever and arthralgia for 6 months. She was admitted to our
clinic with complaints of dyspnea and orthopnea. Transthoracic echocardiography showed giant myxoma in the
left atrium. Transmitral pressure half time (PHT) was assessed by continuous wave doppler and measured
2 maximum/mean 29/17 mmHg transmitral gradient. Mitral valvular area was measured 1,6 cm by PHT. We
demonstrated a mass like myxoma, which originates from interatrial septum and caused functional mitral valve
stenosis, size of 55x31 mm by trans-eosophageal echocardiogram. Surgery was performed and the intracardiac
mass was removed. Pathological examination demonstrated myxoma. We report a patient of a huge left atrial
myxoma with functional mitral valve stenosis and complaints of sub-febrile fever and arthralgia. 2 months after
the operation the patient's subfebrile fever disappeared and complaints of arthralgia decreased. The complaints
completely disappeared and sedimentation rate was normal after 4 months. Sub-febrile fever and arthralgia was
suggested to be secondary to myxoma

Anahtar Kelimeler

Myxoma, heart neoplasms, pathology, arthralgia, sub-febrile fever

Kaynakça

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