Abstract
A 65-year-old man presented to the emergency room following an episode of syncope. His vital signs and physical examination were unremarkable. A chest X-ray and an ECG were also normal. He was admitted to the hospital for further work-up. A computed tomography scan of his brain did not reveal any evidence of stroke, hemorrhage, or mass effect. A transesophageal echocardiogram, however, revealed tricuspid regurgitation and a right atrial mass with finger-like projections, which appeared to originate from the tricuspid valve. Left heart catheterization was performed, showing a 99% proximal right coronary artery stenosis. The patient was scheduled to undergo atrial mass resection, tricuspid valve annuloplasty, and coronary bypass. During the procedure, a large myxoma was found to be adherent to the right side of the atrial septum, adjacent to the fossa ovalis. The mass was friable and was attached to the endocardium by a pedicle. Following resection of the atrial mass and tricuspid valve annuloplasty, a single saphenous vein graft bypass to the right coronary artery was performed. The patient's postoperative course was unremarkable and he was discharged home on postoperative day 6.
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References
K Reynen (1995) ArticleTitleCardiac myxomas N Engl J Med 333 1610–1617 Occurrence Handle7477198 Occurrence Handle1:STN:280:BymD2s3ovFU%3D Occurrence Handle10.1056/NEJM199512143332407
L Pinede P Duhaut R Loire (2001) ArticleTitleClinical presentation of left atrial myxoma. A series of 112 consecutive cases Medicine (Baltimore) 80 IssueID3 159–172 Occurrence Handle1:STN:280:DC%2BD3MzhsFCitQ%3D%3D Occurrence Handle10.1097/00005792-200105000-00002
JF Goodwin (1968) ArticleTitleThe spectrum of cardiac tumors Am J Cardiol 21 307–314 Occurrence Handle5637841 Occurrence Handle1:STN:280:CCeC3szps1w%3D Occurrence Handle10.1016/0002-9149(68)90135-5
S Guhathakurtha JP Riordan (2000) ArticleTitleSurgical treatment of right atrial myxoma Tex Heart Inst J 27 61–63
EC Hanson CC Gill M Razavi FD Loop (1985) ArticleTitleThe surgical treatment of atrial myxomas. Clinical experience and late results in 33 patients J Thorac Cardiovasc Surg 89 298–303 Occurrence Handle3968914 Occurrence Handle1:STN:280:BiqC3cbms1Y%3D
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Gupta, D., Molina, E., Palma, J. et al. Massive right atrial myxoma presenting with syncope. Heart Vessels 21, 256–257 (2006). https://doi.org/10.1007/s00380-005-0866-0
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DOI: https://doi.org/10.1007/s00380-005-0866-0