Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Jul 4;11(1):e33-e37.
doi: 10.1055/s-0042-1749211. eCollection 2022 Jan.

ST-Segment Elevation Myocardial Infarction and Right Atrial Myxoma

Maximilian Vondran  1   2 , Tamer Ghazy  1 , Terézia Bogdana Andrási  1 , Ardawan Julian Rastan  1   3
Affiliations
Case Reports

ST-Segment Elevation Myocardial Infarction and Right Atrial Myxoma

Maximilian Vondran et al. Thorac Cardiovasc Surg Rep. .

Abstract

Background Cardiac myxoma is the most common primary cardiac tumor. Although benign, it can cause life-threatening complications due to embolization. Case Presentation We describe an ST-elevation myocardial infarction (STEMI) involving a giant right atrial myxoma and persisting foramen ovale (PFO) in a 64-year-old male patient and report on emergency percutaneous interventional therapy and subsequent cardiac surgery to remove the right atrial myxoma. Conclusion A right atrial myxoma, combined with a PFO, can cause a STEMI. Therefore, every acute coronary syndrome patient should undergo ultrafast exploratory emergency echocardiography to protect the physician from unpleasant surprises.

Keywords: cardiac catheterization/interventionpercutaneous coronary intervention; cardiovascular surgery; echocardiography; myocardial infarction; myxoma; tumor.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Electrocardiogram.
Fig. 2
Fig. 2
Primary emergency percutaneous coronary intervention. ( A and B ) Left coronary artery with the arrow marking the total occlusion of the left anterior descending artery. ( C ) Right coronary artery with the arrow marking the high-grade stenosis in segment 3.
Fig. 3
Fig. 3
Giant right atrial myxoma (*). ( A ) Transesophageal echocardiography. ( B ) Computed tomography scan. ( C ) Magnetic resonance tomography scan.
Fig. 4
Fig. 4
( A ) Initial left anterior descending artery's result after the first passage with the guidewire through the total occlusion and finally ( B ) after implanting two drug-eluting stents. ( C ) Final result of the second inspection of the right coronary artery's percutaneous coronary intervention.
Fig. 5
Fig. 5
Histopathological examination using light microscopy. Hematoxylin–eosin staining—inlay Alcian blue staining with periodic acid-Schiff reaction. Tumor with few cells and elements located subendothelial in loose, elongated structures, dominated by a myxoid matrix.
See this image and copyright information in PMC

References

    1. Poterucha T J, Kochav J, O'Connor D S, Rosner G F. Cardiac tumors: clinical presentation, diagnosis, and management. Curr Treat Options Oncol. 2019;20(08):66. - PubMed
    1. Braun S, Schrötter H, Reynen K, Schwencke C, Strasser R H. Myocardial infarction as complication of left atrial myxoma. Int J Cardiol. 2005;101(01):115–121. - PubMed
    1. ESC Scientific Document Group . Ibanez B, James S, Agewall S. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC) Eur Heart J. 2018;39(02):119–177. - PubMed
    1. Revankar S G, Clark R A. Infected cardiac myxoma. Case report and literature review. Medicine (Baltimore) 1998;77(05):337–344. - PubMed
    1. Balk A H, Wagenaar S S, Bruschke A V. Bilateral cardiac myxomas and peripheral myxomas in a patient with recent myocardial infarction. Am J Cardiol. 1979;44(04):767–770. - PubMed

Publication types