# A Rare Case of Both Cardiac Myxoma and Left Coronary AVF, Diagnosis, and Management

## TL;DR

A 62-year-old woman had both a cardiac myxoma and a rare coronary arteriovenous fistula, diagnosed and treated surgically with successful outcomes.

## Contribution

This paper reports a rare coexistence of cardiac myxoma and left coronary AVF, along with their surgical management.

## Key findings

- Angiography confirmed the presence of an atrial myxoma and a congenital coronary arteriovenous fistula.
- Surgical resection of the myxoma and direct repair of the fistula minimized surgical risks and improved patient outcomes.

## Abstract

We present the case of a 62‐year‐old woman who was diagnosed with both cardiac myxoma and left coronary AVF, and we go on to discuss the course of her treatment and the outcome. In conclusion, this case study highlights the rare coexistence of an atrial myxoma and a congenital coronary arteriovenous fistula in a 65‐year‐old woman. A thorough cardiovascular evaluation using echocardiography and advanced imaging facilitated accurate diagnosis and informed surgical planning. The surgical approach featured the simultaneous resection of the myxoma and direct repair of the fistula, effectively minimizing surgical risks. A 65‐year‐old female presented with complaints of chest pain and shortness of breath that were exacerbated by physical activity. The results of angiography confirmed that the mass in the left atrium was indeed an atrial myxoma. Additionally, the angiography revealed a congenital arteriovenous fistula (AVF) between the left coronary arteries and the left atrium, adding another layer of complexity to the patient's condition.