Minimally invasive resection of a giant left atrial myxoma: a case report. (April 2020)

• Record Type: Journal Article
• Authors: Gaisendrees, Christopher; Mader, Navid; Sabashnikov, Anton; Schlachtenberger, Georg; Suhr, Laura; Wahlers, Thorsten
• Is Part Of: Perfusion. Volume 35:Number 3(2020)
• Page Start: 263
• Page End: 266
• Publication Date: 2020-04
• Subjects: myxoma -- heart tumor -- minimally invasive surgery -- mitral stenosis -- extirpation -- benign tumor; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/0267659119865125
• Languages: English
• ISSNs: 0267-6591

Abstract

Cardiac tumors are a rarity. Most diagnosed primary tumors of the heart are benign, with an incidence ranging between 0.001% and 0.03%. Cardiac myxoma is one of these benign entities. A 44-year-old Caucasian woman who presented with symptoms of a common cold was diagnosed with a massive obstructing myxoma of the left atrium. Despite its large size, the tumor was completely removed using minimally invasive access through right anterior thoracotomy. However, the myxoma was adherent to the left atrial septum and was excised in toto. Pathological examinations confirmed the diagnosis of a primary cardiac myxoma. Total resection of obstructive cardiac myxomas is the therapy of choice, whereas minimally invasive surgical approach might be feasible despite large size and septal localization, but is technically challenging.