Case Report: Unusual Cause of Chest Pain: A Multi-Image Assessment of a Cardiac Mass

Serrano-Roman J.; Saenz-Ancira S.; Armendariz-Ferrari J.C.; Fernandez-Badillo V.; Solorzano-Pinot E.; Espejel-Guzman A.; Berarducci J.; Aranda-Fraustro A.; Garcia-Cardenas M.; Espinola-Zavaleta N. · Frontiers in Cardiovascular Medicine (2022) · DOI: 10.3389/fcvm.2022.889406

Resumen

Myxomas represent the most common benign primary cardiac tumor, they usually grow out of the interatrial septum into the left atrium with a pedunculated base. Intracardiac masses can be found incidentally on imaging studies, but symptomatology may arise secondary to the mass effect, embolization, and valvular function impairment. We present the case of a 75-year-old woman who arrived at the emergency department with atrial fibrillation and NSTEMI segment elevation myocardial infarction (NSTEMI) secondary to a highly vascularized neoplasm visible by coronary angiography and angiotomography. Scarce reports show high quality multi-imaging assessment of significantly vascularized myxomas with such atypical presentation. High-definition imaging studies played a fundamental role in the surgeon’s management of a mass with a complex neovascularization. Copyright