The impact of preoperative imaging for atypical atrial myxoma locations |
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Authors: | Edwdard Hatz Daniel Danielson Daren Nilas Young J Amsterdam Ezra |
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Affiliation: | Department of Cardiothoracic Surgery, University of California-Davis, Sacramento, California. daniel.hatz@shaw.af.mil. |
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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. Clin. Cardiol. 2012 doi: 10.1002/clc.22027 The authors have no funding, financial relationships, or conflicts of interest to disclose. |
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