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February 26, 2026Cureus0 citationsOpen Access

Silent Intrusion: Left Atrial Myxoma in an Afro-Caribbean Woman

RARoslyn Alfred-DemasJTJana-Abbi TannerJFJannike Frank-Edobor

Key Result

Surgical excision of left atrial myxoma in a 54-year-old Afro-Caribbean woman resulted in complete tumor removal and no recurrence at one year, with the patient remaining asymptomatic.

Key Points

  • The aim is to report a case of left atrial myxoma, emphasizing the significance of diagnosis and treatment.
  • Case report of a middle-aged Afro-Caribbean woman presenting with mild dyspnea.
  • Investigation procedures leading to the diagnosis of a left atrial myxoma.
  • Discussion on the importance of anticoagulation education and multidisciplinary management.
  • A left atrial myxoma was found in a patient initially presenting with mild symptoms.
  • Timely diagnosis helped in planning surgical excision to prevent serious complications.
  • Highlights the rarity of such tumors and need for awareness in clinical presentation.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
1 54-year-old Afro-Caribbean woman presenting with mild dyspnea and irregular pulse post-COVID-19, with no significant past medical history.
I
Intervention
Open cardiothoracic surgery with complete surgical excision of the atrial myxoma.
O
Outcome
Successful surgical excision and absence of recurrence at 1-year follow-up.

This case highlights the importance of a high index of suspicion and multimodality imaging for the timely diagnosis and curative surgical excision of silent left atrial myxomas presenting with mild, non-specific symptoms.

Limitations

  • Single patient case report, limiting generalizability
  • No control group or comparator
  • No quantitative efficacy measures or statistical analysis provided
  • Short follow-up duration of one year for recurrence

Abstract

Although cardiac myxomas are benign tumors, they can be associated with significant symptoms and serious embolic complications. Timely investigations and diagnosis can prevent a myriad of complications. Definitive treatment, in the form of surgical excision, can prevent life-threatening embolization. They are the most common benign cardiac tumors, but they remain relatively rare and can mimic inflammatory disorders. Therefore, a high index of suspicion is warranted when evaluating certain symptoms. This is the case report of a middle-aged, Afro-Caribbean woman who presented with mild dyspnea. Further investigations led to the finding of a silent left atrial myxoma. Caribbean data on incidence and prevalence are sparse. Education regarding presentation and indications for anticoagulation is useful and relevant, as treatment is evolving. A multidisciplinary approach to managing these patients is essential.

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Cite This Study

Alfred-Demas et al. (2026) conducted a case report in Left atrial myxoma (n=1). Surgical excision of left atrial myxoma was evaluated on Complete surgical removal of left atrial myxoma with no recurrence at 1 year follow-up. Surgical excision of left atrial myxoma in a 54-year-old Afro-Caribbean woman resulted in complete tumor removal and no recurrence at one year, with the patient remaining asymptomatic.

synapsesocial.com/papers/699fe32295ddcd3a253e6d1chttps://doi.org/10.7759/cureus.104184
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical Presentation of Left Atrial Cardiac Myxoma2001 · 883 citations
  2. 2Cardiac Myxomas1995 · 1,168 citations
  3. 3Preoperative management and anticoagulant efficacy in atrial myxoma-associated acute ischemic stroke: a case report and literature review2024 · 7 citations
  4. 4Cardiac Myxoma: Review and Update of Contemporary Immunohistochemical Markers and Molecular Pathology2020 · 40 citations
  5. 5Infected cardiac myxoma: an updated review2014 · 31 citations