A-60 years old woman, did cardiac consulting for hypertension Interrogation: The patient is asymptomatic she has the following cardiac risk factors Smoking (1) Packet / day for 40 years and arterial hypertension for 20 years ago , uncontrolled she has not surgical or medicals antecedents Cardiovascular examination: BP: 14,5\90, pulse : 80\ M, No murmurs no additional voices ,peripheral pulse are palpable, no edema , not congestion jugular . Twelve-lead electrocardiography showed sinus rhythm,there are not troubles of repolarization, no of conduction Chest radiography showed normal cardiac silhouette, blood tests are normals Echocardiography throw chest : showed the presence a mass in the left atrium, measuring 4 x 3.5 cm lobed ,smooth heterogeneous, attached to the atrial septum , it has broad base extends from the fossa ovalis to the roof of the left atrium beside superior vena cava to the right side Echodppler throw esophagi does not appear more data, but it showed absence of anthor tumors in other cardiac cavities Cardiac catheterization: showed the presence of multiple aneurysms on the coronary arteries with stenosis of 50% on the first segment of the anterior descending coronary artery(LAD) The patient has been transferred to the Department of Cardiac Surgery, where the tumor was removed successfully and Histopathology showed that it is an aterial myxoma ( benign tumor)