Treatment of life-threatening huge atrial myxoma: Report of two cases |
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Authors: | Yasufumi Asai Ken Ichimura Masamitsu Kaneko Tomio Abe |
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Institution: | (1) Department of Traumatology and Critical Care Medicine, Sapporo Medical University and Hospital, South 1, West 16, Chuou-ku, 060-8556 Sapporo, Japan;(2) Department of Cardiothoracic Surgery, Sapporo Medical University and Hospital, South 1, West 16, Chuou-ku, 060-8556 Sapporo, Japan |
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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. |
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Keywords: | left atrial myxoma echocardiography cardiac arrest respiratory arrest |
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