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Cardiac myxoma originating from areas of ventricular akinesia
Vol 28, Issue 2, 2014
Abstract
We present a case of large pedunculated myxoma (61×39 mm) in the left ventricular cavity with anterior-septal and anterior free wall akinesia. Angiographic study showed normal coronary arteries, but the clinical signs strongly suggested a previous myocardial infarction. We cannot exclude the possibility that the ventricular akinesia results from embolization of tumor fragments. For a time, cardiac myxomas were believed to arise from mural thrombi. In this case the presence of blood stasis or low-velocity blood flow related to wall motion abnormalities may have played a role in improving tumor growth.
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Copyright (c) 2014 D. De Viti, A. Stragapede, G. Riccioni, V Bucciarelli, T. Bucciarelli, C. D. Memmola
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Medical Genetics, University of Torino Medical School, Italy
Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy