Open AccessA SHORT RECURRENCE TIME OF LEFT ATRIAL MYXOMA: CASE REPORT AND LITERATURE REVIEW
Author(s) -
Kawtar Manouri
Publication year - 2021
Publication title -
ra journal of applied research
Language(s) - English
Resource type - Journals
ISSN - 2394-6709
DOI - 10.47191/rajar/v7i1.03
Subject(s) - medicine , myxoma , atrial septum , surgery , cardiology , heart failure , left atrial myxoma , embolus , embolism , resection , stenosis , presentation (obstetrics) , atrial fibrillation , left atrium
Background: Recurrence of sporadic cardiac myxoma remains unusual but the seriousness of the situation justifies the realization of a surgical resection as complete as possible with post-operative clinical and echocargdiographic monitoring. Case presentation: We recall the case of myxoma of the left atriumin a 64-year-old women complicated by functional mitral stenosis and heart failure. She underwent urgent heart surgery, during which a friable tumor attached by a sessile base to the anterior atrial septum was removed. The postoperative effects were complicated by a pulmonary embolism. Eight months later, the patient consulted for exertional dyspnea with an echocardiographic image in favor of a recurrence of myxoma of the left atrium. Conclusion: Several mechanisms have been proposed to explain such recurrence, the most avoidable remain incomplete surgical resection and Implantation of embolic fragments of the original tumor in the myocardium due to a previous surgery.