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Ann Thorac Surg 1987;43:215-217
© 1987 The Society of Thoracic Surgeons

Articles

Left Atrial Myxoma: Pulmonary Infarction Caused by Pulmonary Venous Occlusion

Larry H. Stevens, M.D.*, David A. Hormuth, M.D., Paul E. Schmidt, M.D., Stanley Atkins, M.D., John W. Fehrenbacher, M.D.

From the Department of Surgery, Section of Cardiovascular Surgery, and the Department of Cardiology, Methodist Hospital of Indianapolis, Indianapolis, IN

Accepted for publication February 28, 1986.

* Address reprint requests to Dr. Stevens, Methodist Hospital Graduate Medical Center, 1604 N Capitol Ave, Indianapolis, IN 46202

Atrial myxomas are the most common primary cardiac tumors. Typical complications include congestive heart failure, systemic emboli, or vasculitic type syndromes. Presented is a case of postpartum congestive heart failure in a 17-year-old girl. Echocardiography revealed a left atrial mass. Intraoperatively this mass was found to be extending into and occluding the left pulmonary veins. Left pulmonary infarction had occurred, and left pneumonectomy was required to completely remove the lesion. This case thus represents an unusual complication of left atrial myxoma.




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