PMC3235785_01
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.
CRIM2011-159024.001.jpg
PMC3235785_01_CRIM2011-159024.001.jpg
fig1
A 43-year-old female was transferred to our hospital with asymptomatic non-ST-elevation myocardial infarction (Figure 1(a)). Cardiac troponin T was elevated (0.32 mug/L), and normal coronary angiography suggested embolic infarction (Figures 1(b)-1(d)).  TEE (Figures 1(e) and 1(f)), and the patient was transferred to the department of cardiothoracic surgery. The myxoma was removed and atrial septum reconstruction was performed using a pericardial patch.