COVID-19 mortality in a patient with left atrial myxoma

COVID-19 in patient with myxoma

  • Seth A ATTOH Pathology Division, 37 Military Hospital, Accra, Ghana.
  • Kwame ADOMAKO Surgical division, 37 Military Hospital, Accra, Ghana
  • Raymond FATCHU
  • Lawrence EDUSEI Department of Pathology, Korle-bu Teaching Hospital, Accra, Ghana
  • Frederick HOBENU Pathology Division, 37 Military Hospital, Accra, Ghana
  • Kwasi AGYEMANG-BEDIAKO Pathology Division, 37 Military Hospital, Accra, Ghana
  • Joseph AKAMAH Department of Medicine, University of Ghana Medical School, University of Ghana, College of Health Sciences, University of Ghana
  • Edward ASUMANU Surgical division, 37 Military Hospital, Accra, Ghana
  • Kafui P AKAKPO Department of Pathology, School of Medical Sciences, University of Cape Coast.
Keywords: left atrial myxoma, COVID-19, myocardial infarction, diffuse alveolar damage, congestive cardiac failure


Individuals with comorbid conditions, particularly those with cardiovascular diseases, are at a higher risk of mortality due to COVID-19. Among primary cardiac tumours, atrial myxoma is the most commonly reported, accounting for 85% of all cases. Most tumours occur in the left atrium with an associated embolic phenomenon in 40 to 50% of patients. In this case report, we describe a 35-year-old woman of West African descent who had a left atrial myxoma and was waiting for surgery. She presented with signs and symptoms of biventricular heart failure, and her severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) test results were negative. She deteriorated and died while being optimized medically before cardiac surgery. Postmortem confirmed a left atrial myxoma, myocardial infarction, bacterial endocarditis, congestive cardiac failure, COVID-19 pneumonia, as well as a positive real-time Reverse Transcription Polymerase Chain Reaction (rRT-PCR) SARS-CoV-2 test on lung swabs. Though uncommon, cardiac myxomas may result in mortality if not managed promptly. The COVID-19 may complicate the management of patients with atrial myxoma with mortality.