Venkataeswara Hospitals,
proudly announces the timely diagnosis and efficient treatment of a 64 - year old woman,
a known patient of Coronary artery disease, Systemic Hypertension, Diabetes
mellitus and other multiple co-morbidities.
She was initially admitted with left upper and lower limb numbness and
weakness, headache and shortness of breath and on evaluation she was found to
have acute stroke - right PCA territory infarct. On further evaluation ECHO revealed large LA
myxoma measuring - 3.8 x 2.7cm attached to IAS (Inter Atrial Septum). The Cardiothoracic surgeon advised excision
of left atrial myxoma. She was critically
ill and treated for severe Urinary tract infection with Septicemia, Anemia,
Coronary Artery Disease, Acute Stroke, Hypertension, Uncontrolled Diabetes and
she was stabilized with medications and after stabilization, the patient was
taken up for Excision of Myxoma on
05.01.2021. The post procedure was eventful
and now she is able to attend routine daily activities. Atrial myxomas are the
primary heart tumors because of non specific symptoms, hence early diagnosis
may be a challenge. Annual incidence is about 1 in 20millions individuals. Left atrial myxoma may not produce
characteristic findings on auscultation. Two dimensional echocardiography, is
the diagnostic modality of choice. If
undetected and untreated, these patients may land up with sudden cardiac arrest
or even sudden death or multiple systemic or cerebral embolism and stroke. Myxoma accounts for 50% of primary cardiac
tumors. Most patients are sporadic and
the exact etiology is not known
No known medical treatment exists for atrial myxoma. Drug therapy is
used only for complication such as Stroke, Heart Failure, CHF (Congestive Heart
Failure), Cardiac arrhythmias, etc. Operative resection is the treatment of
choice for long term prognosis which is excellent.
