A rare cause of myocardial infarction - coronary artery embolization by myxoma fragments

Introduction. Myxoma is the most common intracardiac tumor accounting for about 50% of all heart tumors. The symptoms depend on size tumor, its location and mobility. Embolic manifestations coronary arteries are extremely rare, occurring in 0.06% cases, they caused by fragments. Case Report. A 54-year-old female patient was admitted an acute myocardial infarction with ST segment elevation inferior leads. Urgent angiography performed showing no vessel stenosis. In projection left atrium, a mobile mass partial calcification registered, which stained to lesser extent contrast agent. These were nutrient vessels typical ?tumor blush? sign. An echocardiographic examination showed round, inhomogeneous fixed interatrial septum. findings presented cardiology team urgent surgical extirpation performed. During follow-up period two years, doing well normal finding, without recurrence tumor. Conclusion. Acute people risk factors ischemic disease very rare. cause this type syndrome spontaneous artery dissection. embolization myxoma fragments rare phenomenon. Echocardiographic method choice diagnosis myxoma. effective treatment these patients resection low operative mortality.