Systemic Embolization and Myocardial Infarction due to Clinically Unrecognized Left Atrial Myxoma
Figure 1
Findings obtained upon presentation with non-ST-elevation myocardial infarction. (a) 12-lead ECG on admission. (b–d) Coronary angiograms of left anterior descending artery (LAD; 25° left anterior oblique, 10° caudal angulation), left circumflex artery (LCX; 10° right anterior oblique, 30° caudal angulation), and right coronary artery (RCA; 30° right anterior oblique), revealing no signs of remaining thromboembolus or atherosclerosis. (e, f) Transesophageal echocardiograms, showing a left atrial tumor (arrow) located at the interatrial septum (40° (e) and 70° (f) angulation relative to the transversal plane, resp.). LA: left atrium; LAA: left atrial appendage; Ao: aorta. See text for details.
