A Case of Left Atrial Myxoma Presenting with Repetitive Fainting Episodes and Cerebrovascular Accident and the Utmost Importance of Transesophageal Echocardiography

We report a case of 70-year-old female patient with no relevant medical history presenting with repetitive fainting episodes and recent ischemic cerebrovascular accident. Transthoracic echocardiography showed a mobile oval mass in the left atrium, and transesophageal echocardiogram confirmed the presence of mobile pediculated left atrial mass with intermittent prolapse between mitral leaflets. Surgical removal was performed and anatomopathology revealed a myxoma. We highlight the importance of echocardiography for establishing the initial diagnosis, also transesophageal echocardiography for explaining the symptoms, and for guiding the surgeon to remove the mass.