Left atrial myxoma associated with severe congestive heart failure, pulmonary hypertension, and multiple organ insufficiency.

Abstract

We have experienced a case of left atrial (LA) myxoma with rapid progression of congestive heart failure and ensuing multiple organ insufficiency. After the tumor excision, the hemodynamic derangement was totally corrected and the patient dramatically recovered from kidney, liver, and lung insufficiency. Specifically, pulmonary artery pressure (PAP), pulmonary capillary wedge pressure (PCWP), and central venous pressure (CVP) significantly decreased in the intensive care unit. Administration of prostaglandin E1 (PGE1) was effective in treating residual pulmonary hypertension.

• Authors: T Nakano, H Mayumi, S Morita, K Shiraishi, Y Kanegae, H Yasui
• Journal: Japanese heart journal (Jpn Heart J) Vol. 36 Issue 6 Pg. 829-34 (Nov 1995) ISSN: 0021-4868 [Print] Japan
• PMID: 8627990 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antihypertensive Agents
• Vasodilator Agents
• Alprostadil

Topics

• Adult
• Alprostadil (therapeutic use)
• Antihypertensive Agents (therapeutic use)
• Disease Progression
• Female
• Heart Atria (surgery)
• Heart Failure (complications)
• Heart Neoplasms (complications, surgery)
• Humans
• Hypertension, Pulmonary (complications, drug therapy)
• Multiple Organ Failure (complications)
• Myxoma (complications, surgery)
• Vasodilator Agents (therapeutic use)