Cardiac Myxoma Removal and Coronary Artery Bypass Grafting in a Middle-Aged Woman: A Case Report

Document Type : Case Report


1 Cardiovascular Surgeon , Department of Cardiovascular surgery, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Cardiovascular Surgeon, Faculty of Medicine ,Department Of Cardiovascular Surgery, Faculty Of Medicine, Mashhad University Of Medical Sciences, Mashhad, Iran

3 General practitioner, Faculty of Medicine, Islamic Azad University, Mashhad Branch, Mashhad, Iran

4 Msn in Medical Surgical Nursing Education, Research Assistant of Department of Cardiovascular Surgery, Faculty of Medicine, Mashhad University Of Medical Sciences


Cardiac myxoma is usually a benign tumor in the left atrium that accounts for more than 50% of primary cardiac tumors. A 55-year-old female referred to our hospital with chest pain, referred pain to the left hand, and severe dyspnea. Transthoracic Doppler Echocardiography was performed and the results showed a large and mobile left atrial mass without any attachment to the interatrial septum. In addition, the three-vessel disease was detected using angiography. Myxoma was resected followed by coronary artery bypass grafting surgery.


1.         Flint N, Siegel RJ, Bannykh S, Luthringer DJ. Bi-atrial cardiac myxoma with glandular differentiation: a case report with detailed radiologic-pathologic correlation. Eur Heart J Case Rep. 2018; 2:yty045.
2.         Patel K, Rahul K, Tarsaria M, Malhotra A. Left atrial myxoma following coronary artery bypass grafting with patient coronary arterial grafts: a rarity. Braz J Cardiovasc Surg. 2017; 32:228-30.
3.  Zolfagharzadeh M, Pirouzi M, Asoodeh A, Saberi MR, Chamani J. A comparison investigation of DNP-binding effects to HSA and HTF by spectroscopic and molecular modeling techniques. J Biomol Struct Dyn. 2014; 32(12):1936-52.
4.         Shi X, Liu R. Sudden cardiac death in physicians: an alarming problem in China. Anatol J Cardiol. 2018; 19:158.
5.         Nehaj F, Sokol J, Mokan M, Jankovicova V, Kovar F, Kubaskova M, et al. Outcomes of patients with newly diagnosed cardiac myxoma: a retrospective multicentric study. Biomed Res Int. 2018; 2018:8320793.
6.  Chamani J, Heshmati M. Mechanism for stabilization of the molten globule state of papain by sodium n-alkyl sulfates: spectroscopic and calorimetric approaches. J Colloid Interface Sci. 2008; 322(1):119-27.
7.         Gennari M, Rubino M, Andreini D, Polvani G, Agrifoglio M. Huge left atrial myxoma and concomitant silent coronary artery disease in a young man. Open J Cardiovasc Surg. 2017; 8:5-7.
8.  Moosavi-Movahedi AA, Golchin AR, Nazari KK, Chamani J, Saboury AA, Bathaie SZ, et al. Microcalorimetry, energetics and binding studies of DNA–dimethyltin dichloride complexes. Thermochim Acta. 2004; 414(2):233-41.
9.         Majidi Tehrani SM, Ghaderi H, Foroughi M, Hekmat M, Monfared MB, Tatari H, et al. Ten-year evaluation of cardiac myxoma in Shahid Modarres Hospital. Tehran Univ Med J. 2014; 72:87-95.
10.       Echeverria P, Selwyn J, Daily B, Saa J. Rapidly growing left atrial myxoma with pfo and left-to-right shunt presenting with dyspnea. Crit Care Med. 2019; 47:78.
11.       Stefanou MI, Rath D, Stadler V, Richter H, Hennersdorf F, Lausberg HF, et al. Cardiac myxoma and cerebrovascular events: a retrospective cohort study. Front Neurol. 2018; 9:823.
12.        Sanei H, Asoodeh A, Hamedakbari-Tusi S, Chamani J. Multi-spectroscopic investigations of aspirin and colchicine interactions with human hemoglobin: binary and ternary systems. J Solution Chem. 2011;40(11):1905-31.
 13.       Ali N, Zeb S. Acute myocardial infarction in a 36-year-old man from embolized left atrial myxoma. Rawal Med J. 2016; 41:125-7.
14.       Shah IK, Dearani J, Daly RC, Suri RM, Park SJ, Joyce LD, et al. Cardiac myxomas: a 50-year experience with resection and analysis of risk factors for recurrence. Ann Thorac Surg. 2015; 100:495-500.