Cardiology Mcqs - Most Likely Cardiac Lesion ?

A 50-year-old female had many syncopal episodes over the last one year. Each episode was followed by sudden but brief loss of consciousness. She has no chest pain or ankle edema. On brain MRI there is a 1.8 cm cystic area in the left parietal cortex. A chest X-ray shows no cardiomegaly, and her lung fields are clear. Her serum total cholesterol is 6.8 mmol/L. Which of the following cardiac lesions is she most likely to have?

1. Tuberculous Pericarditis
2. Mitral Valve Prolapse
3. Left Atrial Myxoma
4. Ischemic Cardiomyopathy
5. Cardiac Amyloidosis

ANSWER is 3 - Atrial Myxoma

Atrial Myxomas are found more often in the left side of Heart. They are benign but they can embolize small portions of themselves or thrombus formed on their surface. 

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