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Images in cardiology
Prolapse of an atrial myxoma into the apex of the left ventricle
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  1. C S R BAKER,
  2. P STRIKE,
  3. A DEANER

http://dx.doi.org/10.1136/heart.84.4.437

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    A 31 year old scuba diving instructor presented with a history of recurrent palpitations while diving to depths of 30 m. An early diastolic sound was heard on cardiac auscultation. Transthoracic and transoesophageal echocardiography demonstrated a large left atrial mass, attached to the interatrial septum, which prolapsed into the left ventricle during diastole. Surgical exploration of the left atrium revealed a 7.5 × 1.9 × 0.9 cm polypoid, gelatinous tumour arising from the fossa ovalis via a narrow pedicle. The lesion was excised in its entirety and subsequent histology confirmed the clinical diagnosis of left atrial myxoma. Following surgery the patient remains well.

    Figure

    WEB EXTRA: access eHeart to see this move; there is a link from the table of contents for this issue on the Heart web site (www.heartjnl.com)

    Supplementary materials

    • Prolapse of an atrial myxoma into the apex of the left ventricle
      C S R Baker, P Strike, A Deaner
      Heart 2000;84:437

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