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European Journal of Echocardiography 2006 7(4):322-325; doi:10.1016/j.euje.2005.06.005
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Copyright © 2005, The European Society of Cardiology

The protective effect of mitral stenosis on the embolization of a free-floating left atrial myxoma

Ante Matanaa,*, Luka Zaputovica, Ognjen Simicb and Zrinka Matana Kastelanc

aDepartment of Internal Medicine, Division of Cardiology, Clinical Hospital Center Rijeka, HR 51000 Rijeka, T. Strizica 3, Croatia
bDepartment of Surgery, Division of Cardiac Surgery, Clinical Hospital Center Rijeka, HR 51000 Rijeka, T. Strizica 3, Croatia
cMedical School, University of Rijeka, HR 51000 Rijeka, Brace Branchetta 22, Croatia

Received 25 February 2005; received in revised form 19 May 2005; accepted after revision 1 June 2005.

* Corresponding author. Tel.: +385 51 218 059; fax: +385 51 218 059. interna-susak{at}kbc-rijeka.hr


  Abstract

Mitral stenosis associated with free left atrial myxoma is very rare. A free myxoma is life-threatening when incarcerated in the mitral orifice or if embolization of the whole tumor occurs. We report a case of a female patient with moderate mitral stenosis and a detached left atrial myxoma. The myxoma was spherical, solid and smooth-surfaced. Mitral stenosis prevented the exit of the tumor from the left atrium and a possible fatal outcome. The tumor was surgically removed and mitral commissurotomy was successfully performed. Histological analysis confirmed the diagnosis of myxoma.

Keywords: Mitral stenosis; Myxoma; Left atrium


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