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


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 


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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

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