Treatment of intra-atrial cardiac tumors
D. C. Cleveland, S. Westaby and R. B. Karp
Intracavitary tumors of the atria are rare, generally diagnosed as myxoma,
and considered benign. Of 20 such tumors presenting for surgery between Jan
1, 1967, and Jan 1, 1982, sixteen were myxomas: 13 in the left and three in
the right atrium. Four additional patients operated on for suspected right
atrial myxoma had other lesions: two thrombus (simulating myxoma), one
leiomyoma originating in the right iliac vein, and one clear cell
adenocarcinoma from the left kidney. One initially benign myxoma underwent
malignant transformation. Eighteen hospital survivors were followed up from
one month to 134 months (mean, 61 months). All are New York Heart
Association class I. We recommend inferior vena cavagram for right-sided
lesions. For patients older than 40 years, coronary angiography and
appropriate bypass grafting should be performed. Surgery must include
resection of all abnormal tissue. Follow-up with echocardiography should
continue for five years.
Left atrial myxoma in transplanted heart
Yap et al.
Heart 2005;91:e49-e49.
ABSTRACT
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Mitral valve recurrence of a left atrial myxoma
Sadeghi et al.
Eur. J. Cardiothorac. Surg. 2002;21:568-573.
ABSTRACT
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Pelvic leiomyoma in the right atrium
Katsumata et al.
Ann. Thorac. Surg. 1998;66:2095-2096.
ABSTRACT
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Long-term remission after resection, chemotherapy, and irradiation of a metastatic myxoma
Bernet et al.
Ann. Thorac. Surg. 1998;66:1791-1792.
ABSTRACT
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Recurrent cardiac myxoma: seeding or multifocal disease?
Shinfeld et al.
Ann. Thorac. Surg. 1998;66:285-288.
ABSTRACT
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Cardiac Myxomas
Reynen
NEJM 1995;333:1610-1617.
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Primary Cardiac Tumors: A Twenty-Year Review
Gruber et al.
VASC ENDOVASCULAR SURG 1992;26:573-579.
ABSTRACT
Resection of Cavoatrial Renal Cell Carcinoma Employing Total Circulatory Arrest
Shahian et al.
Arch Surg 1990;125:727-732.
ABSTRACT