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Biatrial Myxoma: A Case Report and Review of the Literature
Author(s) -
Irani Adel D.,
Estrera Anthony L.,
Buja L. Maximilian,
Safi Hazim J.
Publication year - 2008
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2007.00545.x
Subject(s) - medicine , myxoma , context (archaeology) , cardiopulmonary bypass , median sternotomy , atrial septum , cardiac tumors , surgical resection , surgery , resection , radiology , general surgery , cardiology , paleontology , biology
Background: In surgical series, a majority of benign cardiac tumors are myxomas. Of these, only about 2.5% are biatrial. Only 10 cases have been reported in the last 10 years. We present here a successful case in a 51‐year‐old man. A brief review of the literature is presented to place this case in context. Methods: The tumor was removed surgically via a midline sternotomy using cardiopulmonary bypass. Both left and right atrial extensions of the tumor mass were removed. The resection involved the entire septum, with a bovine patch used to reconstruct the atrial septum. Results: Patient recovered uneventfully. We advised follow‐up evaluation using transthoracic echocardiography annually. Conclusions: Biatrial myxoma is a very rare condition, with diagnostic challenges, but is amenable to modern surgical approaches.