METASYNCHRONOUS LEFT-SIDED ATRIAL MYXOMAS CONNECTED WITH LAMB SYNDROME

A now 43-year-old female patient with multiple lentigines of the face has developed a myxoid syndrome within a couple of years. The young wo man was treated psychosomatically at first in 1984 because of a sensat ion of numbness in the upper and lower extremities. In 1989, there was a partial restriction of the visual field for a short time and finall y in 1990, a fugitive paresis of the arm could be observed. Retrospect ively, cerebral embolism repeatedly occurred due to an ample atrial my xoma. In 1991, this myxoma was diagnosed by echocardiography in the co urse of an emergency treatment given because of an edema of the lungs. The tumor spread from the septum interatriale in a typical manner. Mo re than 3 years after the surgical excision of the myxoma, a tumor in the left atrium was diagnosed again, this time developing from the lat eral wall.