Myxomas represent the most common benign primary cardiac tumor, they usually grow out of the interatrial septum into the left atrium with a pedunculated base. Intracardiac masses can be found incidentally on imaging studies, but symptomatology may arise secondary to the mass effect, embolization, and valvular function impairment. We present the case of a 75-year-old woman who arrived at the emergency department with atrial fibrillation and NSTEMI segment elevation myocardial infarction (NSTEMI) secondary to a highly vascularized neoplasm visible by coronary angiography and angiotomography. Scarce reports show high quality multi-imaging assessment of significantly vascularized myxomas with such atypical presentation. High-definition imaging studies played a fundamental role in the surgeon's management of a mass with a complex neovascularization.
Keywords: computed tomography angiography; echocardiography; myxoma; neovascularization; tumor.
Copyright © 2022 Serrano-Roman, Saenz-Ancira, Armendariz-Ferrari, Fernandez-Badillo, Solorzano-Pinot, Espejel-Guzman, Berarducci, Aranda-Fraustro, Garcia-Cardenas and Espinola-Zavaleta.