Background and aim of the study: Atrial myxomas are the most common
primary cardiac tumors and are generally discovered as incidental
findings. When obstructive symptoms become manifest, acute hemodynamic
impairment may occur with the necessity of surgical correction. Results:
We describe a case of a young woman with progressive dyspnea and
syncope, and presence of a huge intracardiac mass. The mass completely
obliterated the mitral valve orifice requiring emergent surgery.
Immediately following excision and at follow-up normal hemodynamics were
restored. Conclusions: Whenever huge intracardiac masses cause
hemodynamic compromise, emergent surgery is necessary. Immediate relief
is seen following excision.