Franco Bottini, Servicio de Cardiología, Sanatorio Anchorena de Recoleta, Buenos Aires, Argentina
Mateo Anquiz-Dorado, Servicio de Cardiología, Sanatorio Anchorena de Recoleta, Buenos Aires, Argentina
Patricia Vega, Servicio de Anatomía Patológica, Sanatorio Mater Dei, Buenos Aires, Argentina
Alesis Raffaeli, Servicio de Cardiología, Sanatorio Anchorena de Recoleta, Buenos Aires, Argentina
Mariano Vrancic, Servicio de Cardiología, Sanatorio Anchorena de Recoleta, Buenos Aires, Argentina
Nicolas Lalor, Servicio de Cardiología, Sanatorio Anchorena de Recoleta, Buenos Aires, Argentina
The case of a cardiac mass is presented to discuss the importance of complementary studies prior to surgical intervention. A 57-year-old patient with no medical history was admitted with heart failure and an echocardiographic finding of a cardiac mass in the left atrium that generated severe mitral stenosis; initially, due to location and characteristics suggesting myxoma. Patient evolved with heart failure refractory to treatment requiring emergency surgery. A mass adhered to the roof of the left atrium was observed, with infiltration of both superior pulmonary veins and the anterior mitral leaflet, performing its resection and valve replacement. During the postoperative period presented vasoplegia and subsequent death; pathology was compatible with high-grade sarcoma. In conclusion, an exhaustive study should be carried out complementing multiple images in the event of a cardiac mass being found prior to surgical resection to plan a correct approach, situation that was not possible in this case.
Keywords: Cardiac tumor. Myxoma. Sarcoma. Cardiac mass. Case report.