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European Journal of Echocardiography 2003 4(3):229-231; doi:10.1016/S1525-2167(02)00170-1
© 2003 by European Society of Cardiology
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Copyright © 2003, The European Society of Cardiology

A patient with rheumatic mitral stenosis and an atrial myxoma

M Khania1,* and M Hekmat2

1Dr. Beheshti Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
2Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Received 11 September 2002; accepted after revision 7 November 2002.

* Address correspondence to: Mohammed Khani, Zanjan University of Medical Sciences, Azadi BLVD, Zanjan, Iran. Tel: +98-241-25010; Fax: +98-241-39624.


  Abstract

A 34-year-old woman with exertional dyspnoea and clinical diagnosis of mitral stenosis underwent echocardiographic evaluation. Moderate to severe rheumatic mitral stenosis was confirmed but an unsuspected mass lesion in the dilated left atrium attached to inter-atrial septum in fossa ovalis region was found. Although the attachment was in favour of myxoma, it was difficult to differentiate with certainty between left atrial myxoma and thrombus. Warfarin was prescribed but after 1 year the mass lesion remained unchanged. Both the severity of the mitral stenosis and the presence of the mass lesion led to our decision to proceed with surgery. Pathology showed typical histology of a myxoma.

Keywords: myxoma; mitral stenosis; left atrium


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