ST-elevation myocardial infarction from left atrial myxoma embolization: A case report

Clicks: 9
ID: 332599
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #363 of 408 articles by views in European Heart Journal - Case Reports

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 408 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Cardiac myxomas are the most common primary tumours of the heart. Left atrial myxomas can present with systemic embolic manifestations. We describe a case of a left atrial myxoma that presented as ST-elevation myocardial infarction presumed to be caused by embolism to the left circumflex artery. Case summary A 52-year-old woman with no prior comorbidities presented with sudden-onset chest pain and dizziness. Electrocardiogram revealed ST-segment elevation in leads II,III, and aVF. Echocardiogram showed hypokinesia of the basal and mid inferior wall. Additionally, a large, mobile left atrial mass attached to the interatrial septum, prolapsing into the mitral inflow. The patient was transferred to the catheterisation laboratory for coronary angiogram. Angiogram showed an occluded distal obtuse marginal branch. There was no evidence of atherosclerosis in the rest of the coronary vasculature. Given high suspicion of embolic occlusion, the patient underwent emergency resection of the left atrial mass on day 3. The resected specimen was filled with gelatinous material and had a smooth surface.Histopathological examination confirmed diagnosis of myxoma. Discussion Our case illustrates a rare presentation of left atrial myxoma, with coronary artery occlusion highly suspected to have resulted from embolism of myxomatous material. A high index of suspicion and echocardiographic evaluation are needed to elucidate the cause of myocardial infarction, which would help select the appropriate reperfusion strategy.
Reference Key
openalex_W7222679372 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Sajan Narayanan, A K Rafeeq, Sumayah Aafreen, Prasad Kuttappan, Denim Edger
Are you one of these authors? Claim your profile
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag764
URL
https://doi.org/10.1093/ehjcr/ytag764
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.