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Case Reports in Medicine
Volume 2013, Article ID 904952, 3 pages
http://dx.doi.org/10.1155/2013/904952
Case Report

Acute Pulmonary Edema Caused by a Giant Atrial Myxoma

Division of Cardiology, San Raffaele University Hospital, Via Olgettina 58, 20100 Milan, Italy

Received 9 December 2012; Accepted 17 April 2013

Academic Editor: Jagdish Butany

Copyright © 2013 Andrea Fisicaro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Atrial myxoma is the most common primary cardiac tumor. Its clinical presentation spreads from asymptomatic incidental mass to serious life-threatening cardiovascular complications. We report the case of a 44-year-old man with evening fever and worsening dyspnea in the last weeks, admitted to our hospital for acute pulmonary edema. The cardiac auscultation was very suspicious for mitral valve stenosis, but the echocardiography revealed a huge atrial mass with a diastolic prolapse into mitral valve orifice causing an extremely high transmitral gradient pressure. Awareness of this uncommon acute presentation of atrial myxoma is necessary for timely diagnosis and prompt surgical intervention.