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Case Reports: Unusual presentation of more common disease/injury
Massive atrial myxoma presenting with unexplained haemoptysis
  1. Aliki Tsagkridi1,2,
  2. Niall Keenan3,
  3. Kalliopi Keramida4 and
  4. Jonathan Anderson5
  1. 1Cardiology, Watford General Hospital, Watford, UK
  2. 2Cardiology, Barts Health NHS Trust, London, UK
  3. 3Cardiology, West Hertfordshire Hospitals NHS Trust, Watford, UK
  4. 4Cardiology, Agios Savvas General Cancer and Oncology Hospital of Athens, Athens, Greece
  5. 5Department of Surgery and Cancer, Imperial College London, London, UK
  1. Correspondence to Dr Aliki Tsagkridi; Aliki.tsagkridi{at}nhs.net

Abstract

Cardiac myxomas are scarce and their clinical manifestations can often be misdiagnosed or confused with other medical conditions. However, early diagnosis and surgical resection can prevent devastating complications of myxomas.

We herein describe a case of a huge left atrial myxoma of a female patient in her late 30s. What makes our case unique, apart from the massive size of the myxoma, is the unusual clinical presentation with incessant cough and haemoptysis for more than 6 months. The diagnosis was made by echocardiography and cardiac MR and successful surgical resection was performed with good long-term outcome.

  • Cardiovascular medicine
  • Cancer intervention

https://doi.org/10.1136/bcr-2021-245938

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    Footnotes

    • Contributors All authors contributed to the clinical care of the patient and writing the manuscript and all authorshave reviewed the final manuscript for significant content. Yours sincerely, AT: cardiology registrar that involved with the clinical care of the patient. Wrote the final manuscript, discussed with the patient about their diagnosis and experience with the NHS. NK: cardiologist consultant who was involved directly with the care of the patient before and after the diagnosis. Reviewed the final manuscript. KK: cardiologist and cardio-oncologist consultant (previously worked at Watford General Hospital). Involved with the patient’s care and reviewed the final manuscript. JA: cardiothoracic surgeon who performed the operation for the patient.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.