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Atrial myxoma: histological confirmation
  1. H A Ngow1,
  2. W M N Wan Khairina2
  1. 1Department of Internal Medicine, Kulliyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang Darul Makmur, Malaysia
  2. 2Department of Paediatric, Hospital Tengku Ampuan Afzan, Kuantan, Ministry of Health Malaysia, Malaysia
  1. Correspondence to H A Ngow, Department of Internal Medicine, Kulliyah of Medicine, International Islamic University Malaysia, PO Box 141, Kuantan, Pahang Darul Makmur, Malaysia; harrisngow{at}gmail.com

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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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