Korean J Med > Volume 78(1); 2010 > Article
The Korean Journal of Medicine 2010;78(1):104-108.
A large left atrial myxoma with a feeding vessel from the right coronary artery
Hye-Kang Kim, Dong-Hyeon Lee, Tae-Geun Gweon, Mi-Ae Song, Myong-Ki Baeg, Jeong-Ho Kim, Hui-Kyung Jeon
우관상동맥에서 기원하는 영양혈관을 갖는 거대 좌심방 점액종 1예
김혜강, 이동현, 권태근, 송미애, 백명기, 김정호, 전희경
Abstract
A 55-year-old woman was referred to our hospital with a 6-month history of dyspnea (NYHA II-III). The physical examination revealed a grade 2/6 “tumor plop,” i.e., a low-pitched sound heard during early or mid-diastole. The chest X-ray showed mild cardiomegaly with lung congestion in both lower lung fields. Two-dimensional echocardiogram showed a large myocardial mass, prolapsing into the left ventricle during diastole. Chest computed tomography showed a multi-lobulated mass (6.8×4.1 cm) attached to the interatrial septum during systole and prolapsing into the left ventricle during diastole. Coronary angiography demonstrated large tumor vessels arising from and surrounding the posterior lateral branch of the right coronary artery. The mass was excised and the patient recovered uneventfully. (Korean J Med 78:104-108, 2010)
Key Words: Myxoma; Coronary angiography; Left atrium


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