A 73-year-old woman presented to the emergency department with a syncopal episode and a history of dizzy spells. A transthoracic echocardiogram demonstrated a large left atrial mass extending into the right upper pulmonary veins. Subsequently, cardiac magnetic resonance imaging and coronary computed tomography angiography with three-dimensional reconstruction and printing of the heart and mass were performed, which demonstrated a high index of suspicion for an atypical left atrial myxoma. The mass was excised robotically, and the pathology report confirmed a diagnosis of myxoma.
Keywords: 3D reconstruction; atypical myxoma; cardiac CT; cardiac MRI (CMRI); echocardiography; multimodal imaging; pulmonary veins.
© 2024 Akiki, Arghami, Abbasi, El-Am, Ahmad, Foley, Daly, Maleszewski, Kurmann and Klarich.