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Case Report
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| Coexistent of giant left atrial myxoma and severe coronary artery disease presenting with paroxysmal atrial fibrillation and syncope | ||||||
| Emine Gazi1, Bahadir Kirilmaz1, Ahmet Temiz1, Hicran Yildiz Şimşek1, Mustafa Saçar2, Tolga Kurt2 | ||||||
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1MD, School of Medicine, Department of Cardiology, Canakkale Onsekiz Mart University, Canakkale, Turkey.
2MD, School of Medicine, Department of Cardiovasculary Surgery, Canakkale Onsekiz Mart University, Canakkale, Turkey. | ||||||
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| How to cite this article: |
| Gazi E, Kirilmaz B, Temiz A, Şimşek HY, Saçar M, Kurt T. Coexistent of giant left atrial myxoma and severe coronary artery disease presenting with paroxysmal atrial fibrillation and syncope. International Journal of Case Reports and Images 2013;4(8):457–459. |
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Abstract
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Introduction:
Large intracardiac mass is a rare condition but it brings extremely high-risk of hemodynamic and embolic complications. Presentation is usually heart failure, syncope or embolic events, but occasionally it may have atypical symptoms even may be asymptomatic.
Case Report: Herein we are discussing a case of a 69-year-old male with syncope due to giant left atrial myxoma and coronary artery disease. Conclusion: Although atrial myxomas are the most common type of benign cardiac tumors coexistent with significant coronary artery stenosis is very rare and only a few cases available in literature. Surgery performed safely despite patient age, mass size and coronary artery disease coexistence and ultimate prognosis is good. Myxomas may be symptom free despite the coexistent of severe coronary artery disease, older age and large size of the mass until a contributing factor, such as atrial fibrillation episode as in our case, bring out the symptoms. Once the myxomas are detected before any complication surgery performed safely despite patient age, mass size and coronary artery disease coexistence and ultimate prognosis is good. | |
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Keywords:
Giant myxoma, Syncope, Atrial fibrillation, Coronary heart disease, Echocardiography
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Author Contributions
Emine Gazi – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Bahadir Kirilmaz – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Ahmet Temiz – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Hicran Yildiz Şimşek – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Mustafa Saçar – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Tolga Kurt – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Emine Gazi et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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