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Atrial myxoma presenting with anterior ST-elevation myocardial infarction
  1. Shane Tucker1,
  2. Bartosz Olechowski2,
  3. Rosie Swallow3
  1. 1 Cardiology, Royal Bournemouth Hospital, Bournemouth BH7 7DW, UK
  2. 2 Cardiology, Royal Bournemouth Hospital, Bournemouth, Dorset BH7 7DW, UK
  3. 3 Cardiology, Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Bournemouth, UK
  1. Correspondence to Cardiology Department, Royal Bournemouth Hospital, Castle Lane East, Bournemouth BH7 7DW, UK; shane.tucker{at}rbch.nhs.uk

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CASE HISTORY

A 76-year-old male with no past medical history presented with sudden onset of central chest pain. The ECG showed atrial fibrillation with marked anterior segment ST elevation (figure 1A). He was referred for primary PCI.

Figure 1

(A) ECG taken by the ambulance prior to PCI. (B) Angiogram showing LAD prior to thrombectomy. (C) Angiogram showing LAD post thrombectomy. (D) Thrombus taken from LAD post thrombectomy. (E) ECHO showing atrial myxoma in left atrium, (F) MRI showing atrial myxoma in left atrium.

Angiogram showed an occluded left …

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Footnotes

  • Contributors ST compiled the images, undertook the research and wrote the report. BO supervised the project and reviewed the report prior to submission. RS was the lead consultant for the patient and performed the angiogram and PCi.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Consent obtained directly from patient(s).

  • Provenance and peer review Not commissioned; internally peer reviewed.

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