Left atrial myxoma. Hemodynamic and phonocardiographic features

Ali R. Ghahramani, John R. Arnold, Frank J. Hildner, Leonard S. Sommer, Philip Samet

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Two cases of left atrial myxoma are presented, with a review of clinical clues which may help in distinguishing this disease from mitral valve disease. Suggestive features in the apexcardiogram and internal and external phonocardiograms are discussed, together with related hemodynamic events indicated on the pulmonary capillary wedge, left atrial and left ventricular pressure tracings. The origins of various auscultatory features are analyzed in the light of specific hemodynamic events. Hemolytic anemia was present in one case, and ruptured chordae tendineae with scarring and myxomatous degeneration of the mitral leaflets in the other. Possible mechanisms for these lesions related to myxoma are discussed. The role of cardiac fluoroscopy, left ventricular cineangiography and the levophase of pulmonary angiography in helping to delineate left atrial myxoma is also mentioned.

Original languageEnglish (US)
Pages (from-to)525-532
Number of pages8
JournalThe American journal of medicine
Volume52
Issue number4
DOIs
StatePublished - Apr 1972

ASJC Scopus subject areas

  • Medicine(all)

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    Ghahramani, A. R., Arnold, J. R., Hildner, F. J., Sommer, L. S., & Samet, P. (1972). Left atrial myxoma. Hemodynamic and phonocardiographic features. The American journal of medicine, 52(4), 525-532. https://doi.org/10.1016/0002-9343(72)90043-5