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Ann Thorac Surg 2003;75:1321-1323
© 2003 The Society of Thoracic Surgeons

Case report

Cardiac Wegener’s granulomatosis masquerading as left atrial myxoma

Anne Herbst, MDa, Mary T. Padilla, MDb, Anil R. Prasad, MDb, Monty C. Morales, MDc, Jack G. Copeland, MDd*

a University of Ulm, Ulm, Germany
b Department of Pathology, University of Arizona, , Tucson, Arizona, USA
c Tucson Heart Center, Tuscon, Arizona, USA
d University of Arizona Sarver Heart Center, Tucson, Arizona, USA

Accepted for publication September 27, 2002.

* Address reprint requests to Dr Copeland, University of Arizona Sarver Heart Center, 1501 N Campbell Ave, Tucson, AZ 85724-5071, USA
e-mail: jgcbriez{at}aol.com

A 56-year-old woman was referred with mitral regurgitation, left ventricular dysfunction, and a sessile mass on the anterior leaflet of her mitral valve. The initial impression from echocardiography was that she had a left atrial myxoma. At operation, we found an intense inflammatory process diagnosed as Wegener’s granulomatosis. It also involved the aortic valve and contiguous myocardium.




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