Abstract
Here we describe the case of a 71-year-old female patient who was admitted to our department with acute coronary syndrome. Trans-thoracic echocardiography evaluation to assess left ventricular functions incidentally detected a left atrial mass attached to the inter-atrial septum together with a left ventricular segmental wall motion abnormality due to acute anterior myocardial infarction. Coronary angiography revealed diffuse coronary artery disease. Because early surgery was not advised due to the high mortality risk, successful coronary angioplasty and stenting was performed in this emergecy situation. It may be informative to study the images from the echocardiography prior to angiography in this study as well as to determine the anticipated signs that may affect the treatment options for similar patients.