Left atrial myxoma impaction of the left ventricle inflow tract.

A 77-year-old woman with chronic atrial fibrillation underwent a routine transthoracic echocardiography that showed a left atrial myxoma. The patient underwent surgery by means of miniinvasive right thoracotomy in fourth intercostal space. Intraoperative transesophageal echocardiography showed a dangerous obstruction of the left ventricle inflow as illustrated in Figures 1 and 2. The obstruction of flow through the mitral valve can induce pulmonary hypertension and clinical signs of congestive heart failure. Despite the fact that up to 95 % of patients can present symptoms related to obstruction of blood flow across the atrio-ventricular valve, the only symptom in our patient was palpitation correlated to the existing atrial arrhythmia.