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Atrial myxoma is uncommon, with an overall prevalence in the developed world of 0.02%.1 It is often undiagnosed until complications such as cardiac death or stroke occur. The incidence of primitive tumours of the heart at autopsy is between 0.0017% and 0.03%, and of these 50% are myxomas.1 2 We describe a case of left atrial myxoma which was only diagnosed after histopathological examination.
A 69-year-old woman with chronic hypertension and diabetes presented with cardiorespiratory arrest. She was well prior to the acute presentation. She was not a smoker and had no symptoms of malignancy. The family history was unremarkable. She appeared neither cachexic nor cushingoid. She did not have any features suggestive of Carney's complex. She was electively ventilated and successfully resuscitated. The praecordium examination was normal with absence of cardiac murmur or ‘plop.’ There was generalised crepitation in the lungs. The neurological examination was normal without any localising signs. Her complete blood count showed mild lymphocytosis. …
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