A 77-year-old woman presented with dyspnoea and respiratory-related thoracic pain, which was accompanied by dizziness and fatigue but no syncopal attacks. Auscultation of the heart disclosed an opening snap with mid-diastolic murmur. Laboratory assessment revealed no abnormalities but an elevated D-dimer level (1.49 mg/l). Electrocardiography was normal. The chest radiograph showed an enlarged heart without other abnormalities. Computed tomography (CT) scan for a suspected diagnosis of pulmonary embolism was performed. The CT scan did not reveal pulmonary embolism, but a large cardiac tumour in the left atrium.

embolism, myxoma, respiratory insufficiency, tumour
dx.doi.org/10.2459/JCM.0b013e3283511f2d, hdl.handle.net/1765/65644
Journal of Cardiovascular Medicine (Hagerstown)
Department of Cardiology

Brugts, J.J, van den Bos, E.J, Raap, J.B, van de Woestijne, P.C, Kofflard, M.J.M, & Dirkali, A. (2012). Obstructive giant cardiac tumour in a patient with chest pain and acute respiratory insufficiency. Journal of Cardiovascular Medicine (Hagerstown), 13(4), 274–276. doi:10.2459/JCM.0b013e3283511f2d