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In this report, we describe a case with myxoma which originated from anterior leaflet of mitral valve was operated in our clinic. A male patient 50 years old was referred to Cardiology Clinic with the complaint of syncope. In transthoracic echocardiography a mass compatible with the myxoma in left atrium. When left atriotomy was made it was seen a myxoma originated from anterior leaflet of mitral valve. Myxoma was excised with pedicule and mitral valve was repaired. Mitral valve replacement with bileaflet mechanic valve was applied because mitral regurgitation was detected in transesophagial echocardiography after cessation of cardiopulmonary bypass. The patient was discharged with oral anticoagulant drug therapy because of control echocardiography was normal findings and myxoma was detected histopathologically. Myxomas originated from valve region were seen very rarely. Valve repair can be possible after resection of valve originated myxomas however valve replacement may be needed for some patients. [Cukurova Med J 2012; 37(1): 55-59]

Background: Positive T-wave polarity in the augmented vector right lead (Tw-aVR) and ST-segment deviation in the augmented vector right lead (STaVR) have been identified as potential predictors of adverse outcomes in various cardiac conditions., Aim: The aim of the study was to examine the effect of positive Tw-aVR and STaVR on in-hospital mortality after coronary artery bypass grafting (CABG) surgery in patients with heart failure with reduced ejection fraction (HFrEF)., Methods: A five-year retrospective study was conducted on 250 HFrEF patients who underwent CABG at a tertiary care hospital between January 2018 and December 2022. The primary outcome was in-hospital mortality, and the main exposures were positive Tw-aVR and STaVR on preoperative electrocardiograms. Logistic regression models were used to assess the factors associated with in-hospital mortality., Results: Two hundred and fifty patients with a mean age of 67.4 ± 8.1 years were studied. Males constituted 68% of the participants. Among the participants, 60 (24%) had positive Tw-aVR, and 96 (38.4%) had STaVR. The overall in-hospital mortality rate was 7.6%, and patients with positive Tw-aVR and STaVR had significantly higher mortality rates than those without (odds ratio: 3.62 and 2.87, respectively, P < 0.01). These associations remained significant even after controlling for potential confounders such as age (adjusted odds ratio [AOR]: 1.11; 95% confidence interval [CI]: 1.03-1.20; P = 0.008), sex (AOR: 0.82; 95% CI: 0.31-2.18; P = 0.684), diabetes mellitus (AOR: 2.12; 95% CI: 0.88-5.12; P = 0.091), and chronic kidney disease (AOR: 1.79; 95% CI: 0.75-4.27; P = 0.194)., Conclusion: Positive Tw-aVR and STaVR were found to be associated with in-hospital mortality in HFrEF patients after CABG. These findings suggest that identifying patients with positive Tw-aVR and STaVR may help identify those at higher risk of adverse outcomes and facilitate closer monitoring and more aggressive interventions., (Copyright © 2024 Copyright: © 2024 Nigerian Journal of Clinical Practice.)