LEFT ATRIAL PEDUNCULATED MYXOMA WITH COMPLEX ATTACHMENT TO THE BASE OF INTERATRIAL SEPTUM AND MITRAL VALVE (ANTERIOR MITRAL LEAFLET): A CASE REPORT

Dr. Samyajyoti Das; Revanth Kumar

doi:10.65605/a-jmrhs.2026.v04.i02.pp2163-2167

Authors

Dr. Samyajyoti Das Clinical Associate, MBBS, PGPC, PGCC, FICC, Department of Cardiology, Utkal Institute of Medical Sciences & Hospital, Bhubaneswar, Odisha, India. Author
Revanth Kumar Echocardiographer, BSc Cardiac Care and Cardiovascular Technology, Department of Cardiology, Utkal Institute of Medical Sciences & Hospital, Bhubaneswar, Odisha, India. Author

DOI:

https://doi.org/10.65605/a-jmrhs.2026.v04.i02.pp2163-2167

Keywords:

Cardiac Myxoma, Interatrial Septum, Anterior Mitral Leaflet, Mitral Regurgitation, Cardiac Tumor.

Abstract

Cardiac myxomas are the most common benign primary cardiac tumors, typically arising from the interatrial septum. Rarely, they may demonstrate complex attachment involving both the interatrial septum (IAS) and mitral valve apparatus. We report a 60-year-old female presenting with exertional dyspnea. Echocardiography revealed severe mitral regurgitation, pulmonary hypertension, and a pedunculated mass (~1.3 × 1.5 cm) attached to the base of the IAS and anterior mitral leaflet (AML). The patient underwent successful mitral valve replacement with complete tumor excision.Histopathological examination confirmed cardiac myxoma. Postoperative imaging showed a well-functioning prosthetic valve with no residual mass. This case highlights a rare presentation of myxoma with dual attachment and its surgical implications.