Very large left atrial myxoma: an unusual differential diagnosis of bronchial hyper-reactivity

Intra- and paracardiac tumors are rare (incidence in autopsies ca. 0.06%), whereas secondary manifestations of extracardiac masses are more frequent (incidence in autopsies ca. 1.2%) (1). With the exception of paraganglioma, clinical symptoms are typically secondary to mechanical effects of the mass (2)