@article {1930, title = {Left Atrial Myxoma Presented with an Obstructive Shock, Right Ventricle Dysfunction and Pulmonary Hypertension}, journal = {Pharmacognosy Journal}, volume = {14}, year = {2022}, month = {January 2023}, pages = {917-920}, type = {Original Article }, chapter = {917-920}, abstract = {

Myxoma is a benign primary cardiac tumour, mostly located in the left atrial. A 43 years old woman was referred with a difficulty of breathing for 3 months. The patients also complained about weakness, swollen legs, enlarged abdomen, and blood-tinged cough. The patient appeared weak with blood pressure of 80/50 mmHg and grade III/IV systolic and diastolic murmurs were found. Transthoracic echocardiography and pathology evaluation conclude a cardiac myxoma. The patient was diagnosed with a LA myxoma with an obstructive shock, right ventricular (RV) dysfunction and pulmonary hypertension, thus a surgical approach was done immediately to prevent embolism and sudden death. Cardiac features are most likely a consequence of obstructed LV inflow. Transthoracic echocardiography is a useful modality to determine the size, location, and mobility of the mass. The persistence of RV dysfunction post-surgical may be due to the chronicity of the myxoma.

}, keywords = {Myxoma, Obstructive shock, Pulmonary hypertension., Right ventricle dysfunction, Transthoracic echocardiography}, doi = {10.5530/pj.2022.14.189}, author = {Wisda Medika Valentidenta and Agus Subagjo and Dandy Hertriwibowo} }