Large left atrial myxoma with functional mitral stenosis: a case report
Yazarlar (1)
Doç. Dr. Güler Gülsen ERSOY Kastamonu Üniversitesi, Türkiye
| Makale Türü |
Özgün Makale
(ESCI dergilerinde yayınlanan tam makale)
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| Dergi Adı | JOURNAL OF MEDICAL CASE REPORTS | ||
| Dergi ISSN | 1752-1947 Dergi Bilgileri (2026) | ||
| Dergi Tarandığı Indeksler | ESCI | ||
| Makale Dili | Türkçe | Basım Tarihi | 03-2026 |
| Kabul Tarihi | 17-12-2025 | Yayınlanma Tarihi | 03-03-2026 |
| Cilt / Sayı / Sayfa | 20 / 1 / – | DOI | 10.1186/s13256-026-05883-6 |
| UAK Araştırma Alanları |
Kalp ve Damar Cerrahisi
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| Özet |
| Left atrial myxomas are rare, potentially life-threatening benign cardiac tumors. Early surgical excision is recommended to prevent embolic events, obstruction, and sudden death. A 72-year-old Turkish woman presented with exertional dyspnea and palpitations. Transthoracic echocardiography demonstrated a 4.7 cm × 2.7 cm mobile left atrial mass attached to the interatrial septum and prolapsing into the mitral orifice with a mean transmitral gradient of 9 mmHg and no evidence of embolization. Elective median sternotomy under cardiopulmonary bypass via a right atriotomy-transseptal approach enabled en bloc excision with primary septal closure. Postoperative transesophageal echocardiography confirmed complete resection with preserved mitral valve function, and the mean transmitral gradient fell immediately to ~1.3-1.4 mmHg, indicating prompt hemodynamic normalization. Recovery was uneventful, and the patient was discharged on postoperative day 8. This case demonstrates the rapid reversal of myxoma-related functional mitral stenosis following valve-sparing transseptal excision, with immediate normalization of the mean transmitral gradient. |
| Anahtar Kelimeler |
| Myxoma; Transthoracic echocardiography; Cardiopulmonary bypass |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| PubMed | 1 |