Intended for healthcare professionals

Practice A Patient’s Journey

Left atrial myxoma

BMJ 2013; 347 doi: (Published 26 July 2013) Cite this as: BMJ 2013;347:f4430

Re: Left atrial myxoma

We would like to share our experience regarding atypical presentations of atrial myxoma. Atrial myxoma can embolise with a predilection for the coronary and central nervous circulations, however if there is cross circulation present such as a patent foramen ovale, then paradoxical emboli can occur. These paradoxical emboli can lead to life threatening pulmonary emboli and patients can present in extremis. Atrial Myxoma is a rare condition however clinicians should be vigilant to its possible presentations as early diagnosis with prompt surgery leads to successful outcomes.

Competing interests: No competing interests

23 September 2013
B W Johnston
Foundation Year 2 Trainee
Anwar S, Singh V, Philips T
University Hospital of Wales
University Hospital of Wales, Heath Park, Cardiff CF14 4XW