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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2022; 11(01): e33-e37
DOI: 10.1055/s-0042-1749211
Case Report: Cardiac

ST-Segment Elevation Myocardial Infarction and Right Atrial Myxoma

Maximilian Vondran 
1   Department of Cardiac and Thoracic Vascular Surgery, Philipps-University Hospital Marburg, Baldingerstraße, Marburg, Germany
2   Department of Cardiac and Vascular Surgery, Klinikum Karlsburg, Heart and Diabetes Center Mecklenburg-Western Pommerania, Karlsburg, Germany
,
Tamer Ghazy 
1   Department of Cardiac and Thoracic Vascular Surgery, Philipps-University Hospital Marburg, Baldingerstraße, Marburg, Germany
,
Terézia Bogdana Andrási
1   Department of Cardiac and Thoracic Vascular Surgery, Philipps-University Hospital Marburg, Baldingerstraße, Marburg, Germany
,
Ardawan Julian Rastan
1   Department of Cardiac and Thoracic Vascular Surgery, Philipps-University Hospital Marburg, Baldingerstraße, Marburg, Germany
3   Department of Cardiac Surgery, Herz-Kreislauf-Zentrum, Rotenburg an der Fulda, Rotenburg a. d. F., Germany
› Institutsangaben Funding None.
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Abstract

Background Cardiac myxoma is the most common primary cardiac tumor. Although benign, it can cause life-threatening complications due to embolization.

Case Presentation We describe an ST-elevation myocardial infarction (STEMI) involving a giant right atrial myxoma and persisting foramen ovale (PFO) in a 64-year-old male patient and report on emergency percutaneous interventional therapy and subsequent cardiac surgery to remove the right atrial myxoma.

Conclusion A right atrial myxoma, combined with a PFO, can cause a STEMI. Therefore, every acute coronary syndrome patient should undergo ultrafast exploratory emergency echocardiography to protect the physician from unpleasant surprises.

Keywords

myocardial infarction - myxoma - cardiac catheterization/interventionpercutaneous coronary intervention - cardiovascular surgery - echocardiography - tumor

Ethics Approval

Not applicable.


Consent for Publication

Oral informed consent was obtained from the patient to publish this case report and accompanying images.


Availability of Data and Materials

The anonymized data used to support the findings of this case report are available from the corresponding author upon request.


Authors' Contributions

M.V., T.G., T.B.A., and A.J.R. contributed to concept/design; M.V. and T.G. contributed to article drafting; A.J.R. and T.G. performed the surgery; M.V., T.G., T.B.A., and A.J.R. performed the critical revision of the article; M.V., T.G., T.B.A., and A.J.R. contributed to the approval of article; M.V. contributed to data collection.




Publikationsverlauf

Eingereicht: 14. Dezember 2021

Angenommen: 28. Februar 2022

Artikel online veröffentlicht:
04. Juli 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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