Intrapericardial teratomas are rare, predominantly benign tumors that warrant surgical resection in the neonatal period because of their potential detrimental effects on the cardiorespiratory system. Surgical resection can be a challenge when the tumor encases and obscures a coronary artery. Adherence to certain operative principles is necessary to achieve successful outcomes.
Case report: A 25 year old male underwvent emergency excision of a left atrial (LA) mass with an echocardiographic diagnosis of LA myxoma with left ventricular inflow obstruction. Mass was broad based, attached to LA roof and was excised totally through right atrial approach. Histopathological examination revealed myxosarcoma. He had an uneventful recovery and was discharged on the 6th postoperative day. He received adjuvant chemotherapy at the Regional Cancer Centre. Patient is on follow up and is free from recurrence till the 8th month.Conclusions: Myxosarcoma is an extremely rare tumour. Complete resection of the tumour and adjuvant chemotherapy is the mainstay of treatment.
Clinical experience and surgical considerations in [----] the management of cardiac myxomas
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