Surgery Today

, Volume 29, Issue 8, pp 813–816 | Cite as

Treatment of life-threatening huge atrial myxoma: Report of two cases

  • Yasufumi Asai
  • Ken Ichimura
  • Masamitsu Kaneko
  • Tomio Abe
Case Reports

Abstract

We herein report two patients with left atrial myxoma who needed an emergency operation. Case 1 was a 48-year-old woman who was injured in a traffic accident and underwent an operation for a right leg fracture. Just after the operation she developed cardiac and respiratory arrest with complaints of chest pain. She was successfully resuscitated and diagnosed to have a left atrial myxoma by echocardiography. Emergency surgery was performed and a giant left atrial myxoma was thus removed from the atrial septum. Case 2 was a 54-year-old housewife who was transferred to our department under the diagnosis of a left atrial myxoma by echocardiography. She complained of dyspnea and chest discomfort. By angiography, the tumor was seen to be partially incarcerated at the diastolic phase. A huge myxoma was removed from the atrial septum which was secured by a patch closure. Cardiac echocardiography can help rule out left atrial myxoma if it is highly suspected. As early surgical mortality is low and the long-term results are good, we strongly believe that patients with cardiac myxoma should be operated on as early as possible, once a diagnosis is made.

Key Words

left atrial myxoma echocardiography cardiac arrest respiratory arrest 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Silverman NA (1980) Primary cardiac tumors. Ann Surg 191: 127–138CrossRefPubMedGoogle Scholar
  2. 2.
    Larrieu AJ, Jamieson WRE, Tyers GFO, Burr LH, Munro AI, Miyagishima RT, Gerein AN, Allen P (1982) Primary cardiac tumors. J Thorac Cardiovasc Surg 83: 339–348PubMedGoogle Scholar
  3. 3.
    Kirklin JW, Barratt-Boyes BG (1993) Cardiac tumor. In: Cardiac surgery, second edn. Churchill Livingstone, New York, pp 1635–1653Google Scholar
  4. 4.
    Abe T, Watanabe N, Hamaya H, Inoue S, Satou H, Komatsu S (1995) A case of myxoma originating from the anterior leaflet of the mitral valve. Jpn J Cardiovasc Surg 24: 330–332Google Scholar
  5. 5.
    Bortolotti U, Mazzucco A, Valfre C, Valente M, Pannelli N, Gallucci V (1982) Right ventricular myxoma, review of the literature and report of two patients. Ann Thorac Surg 33: 277–284PubMedCrossRefGoogle Scholar
  6. 6.
    Cho BK, Lee DK, Pezella AT (1989) Surgical treatment of atrial myxomas. A report of 20 cases. Texas Heart Inst J 16: 81–85Google Scholar
  7. 7.
    Castells E, Ferran V, Toledo MO (1993) Cardiac myxomas, surgical treatment, long-term results and recurrence. J Cardiovasc Surg 34: 49–53Google Scholar
  8. 8.
    Murphy MC, Sweeney MS, Patnam JB (1990) Surgical treatment of cardiac tumors; A 25-year experience. Ann Thorac Surg 49: 612–618PubMedCrossRefGoogle Scholar
  9. 9.
    Abe T, Urita R, Mawatari T, Komatsu S (1995) Cardiac myxoma, Results of 32 years experience and recurrence. Ann thorac Cardiovasc Surg 1: 31–34Google Scholar
  10. 10.
    Semb BHK (1984) Surgical considerations in the treatment of cardiac myxoma. J Thorac Cardiovasc Surg 87: 251–259PubMedGoogle Scholar
  11. 11.
    Selke FW, Lemmer JM, Vanderberg BF (1990) Surgical treatment of cardiac myxomas: long-term results Ann Thorac Surg 50: 557–561CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1999

Authors and Affiliations

  • Yasufumi Asai
    • 1
  • Ken Ichimura
    • 1
  • Masamitsu Kaneko
    • 1
  • Tomio Abe
    • 2
  1. 1.Department of Traumatology and Critical Care MedicineSapporo Medical University and HospitalSapporoJapan
  2. 2.Department of Cardiothoracic SurgerySapporo Medical University and HospitalSapporoJapan

Personalised recommendations