AUTHOR=Serrano-Roman Javier , Saenz-Ancira Santiago , Armendariz-Ferrari Jose C. , Fernandez-Badillo Valente , Solorzano-Pinot Enrique , Espejel-Guzman Adrian , Berarducci Joaquin , Aranda-Fraustro Alberto , Garcia-Cardenas Mauricio , Espinola-Zavaleta Nilda TITLE=Case Report: Unusual Cause of Chest Pain: A Multi-Image Assessment of a Cardiac Mass JOURNAL=Frontiers in Cardiovascular Medicine VOLUME=9 YEAR=2022 URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.889406 DOI=10.3389/fcvm.2022.889406 ISSN=2297-055X ABSTRACT=

Myxomas represent the most common benign primary cardiac tumor, they usually grow out of the interatrial septum into the left atrium with a pedunculated base. Intracardiac masses can be found incidentally on imaging studies, but symptomatology may arise secondary to the mass effect, embolization, and valvular function impairment. We present the case of a 75-year-old woman who arrived at the emergency department with atrial fibrillation and NSTEMI segment elevation myocardial infarction (NSTEMI) secondary to a highly vascularized neoplasm visible by coronary angiography and angiotomography. Scarce reports show high quality multi-imaging assessment of significantly vascularized myxomas with such atypical presentation. High-definition imaging studies played a fundamental role in the surgeon’s management of a mass with a complex neovascularization.