Letter by Barik Regarding Article, “Now You See It, Now You Don’t?”

A Biatrial Myxoma with Triple Ripples

“…[ 7 ] It should be removed by wide base resection as soon as possible because of higher frequency of embolization. [ 8 ] Echocardiography gives significant number of clues such as the polypoid or smooth surface myxoma, the site of origin, satellite focus, and diastolic blockage of mitral or tricuspid inflow which almost support provisional diagnosis of cardiac myxoma. [ 9 ] Contrast-enhanced CT scan of chest or lung scintigraphy would have provided the evidence of silent concomitant pulmonary embolism but has not been done in our case neither before surgery nor after surgery because there was no evidence of pulmonary arterial hypertension and financial limitation.…”