A rare cause of severe mitral stenosis and reversible pulmonary hypertension

Echocardiography. 2017 Oct;34(10):1544-1545. doi: 10.1111/echo.13586. Epub 2017 Jul 3.

Abstract

Myxoma is a rare cause of severe mitral stenosis. We describe a challenging case of severe mitral stenosis and reversible pulmonary hypertension produced by a giant left atrial myxoma. The greatest risk is a diagnostic delay due to focus on discarding a pulmonary etiology of dyspnea. Physical examination and early echocardiographic assessment are the keys to avoid overlooking this uncommon pathology.

Keywords: echocardiography; mitral stenosis; myxoma; pulmonary hypertension.

Publication types

  • Case Reports

MeSH terms

  • Delayed Diagnosis
  • Diagnosis, Differential
  • Echocardiography / methods
  • Heart Neoplasms / complications*
  • Heart Neoplasms / diagnostic imaging*
  • Heart Neoplasms / surgery
  • Humans
  • Hypertension, Pulmonary / diagnosis
  • Hypertension, Pulmonary / etiology*
  • Male
  • Middle Aged
  • Mitral Valve Stenosis / diagnostic imaging
  • Mitral Valve Stenosis / etiology*
  • Mitral Valve Stenosis / surgery
  • Myxoma / complications*
  • Myxoma / diagnostic imaging*
  • Myxoma / surgery
  • Tomography, X-Ray Computed / methods