Edwdard Hatz D, Danielson D, Nilas Young J, Amsterdam E. The impact of preoperative imaging for atypical atrial myxoma locations.
Clin Cardiol 2012;
35:490-3. [PMID:
22760729 DOI:
10.1002/clc.22027]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2012] [Revised: 05/08/2012] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND
Atrial myxomas are the most common primary cardiac neoplasm. The majority (75%-80%) are located in the left atrium at the base of the foramen ovalis. Surgical removal can prevent dangerous obstructive or thromboembolic sequelae.
HYPOTHESIS
Atypically located tumors may present technical challenges requiring case-specific surgical adaptations when visualization or surrounding cardiac structures are compromised.
METHODS
We describe 3 cases of atypically located atrial myxomas that required preoperative transesophageal echocardiography and computed tomography to afford the optimal surgical approach.
CONCLUSIONS
These cases highlight the potential need for multimodality imaging of atypically located atrial myxomas to determine the optimal technical approach for excision.
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