Refractory Heart Failure despite Optimized Medical Treatment Which Subsides only after Surgical Resection of a Large Left Atrial Myxoma

Submit Manuscript | http://medcraveonline.com depends on the size, mobility and location of the AM. It can be asymptomatic, although the typical symptoms involve systemic embolism, heart failure, or non-specific symptoms. Systemic embolism occurs in 25% to 50% of left AM and about half of them travel to the central nervous system [2,3]. The clinical diagnosis of AM is based on imaging methodology like echocardiography, cardiac computerized tomography or cardiac magnetic resonance imaging. These imaging techniques provide detailed information about de structure of the tumor mass, its mobility, size, and myocardial invasion. The histopathological study of the cardiac mass confirms the diagnosis of AM [4]. In order to avoid embolism and other cardiac and systemic complications total surgical resection of the intra-atrial myxoma should be done as soon as possible. Therefore, we are presenting this relatively uncommon disease of a left atrial myxoma developing refractory heart failure which subsides only after surgical resection of this intra-atrial mass.