1994
DOI: 10.1055/s-2007-1016497 View full text |Buy / Rent full text
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Abstract: Myxoma of the right ventricle is of very rare occurrence. An adult male patient presented with Class III dyspnoea and occasional haemoptysis and clinically was suspected to have pulmonary stenosis. Magnetic resonance imaging study revealed presence of myxoma arising from the right-ventricular free wall and prolapsing into the pulmonary artery but not involving the pulmonary valve. The myxoma was excised via right ventriculotomy using cardiopulmonary bypass. The patient had an uneventful recovery. The relevant … Show more

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“…Only sporadic cases of myxomas arising from the right ventricular outflow tract have been reported in the literature [5][6][7] . In a series of 81 myxomas operated in our institution during the period of 29 years, this is the first patient with right ventricular myxoma.…”
Section: Discussionmentioning
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“…Only sporadic cases of myxomas arising from the right ventricular outflow tract have been reported in the literature [5][6][7] . In a series of 81 myxomas operated in our institution during the period of 29 years, this is the first patient with right ventricular myxoma.…”
Section: Discussionmentioning
“…Catastrophic complications are known to occur during induction of anaesthesia and sternotomy. 3,7 Echocardiography established the diagnosis and urgency of surgical treatment. In particular, TOE was extremely important and valuable in providing information about the myxoma by clearly displaying its attachment and anatomical relationship.…”
Section: Discussionmentioning
“…The tumor was wedged to the right of the ventricular outflow tract and the pulmonary artery during systole when it projected from the interventricular outlet septum. [3][4][5] If a RV myxoma arises from the anterior free wall of the RV papillary muscle or the inflow portion of the RV septum, it will result in obstruction of both the RV outlet and inlet. 6 In cases such as the present patient in which the RV myxoma projects from the posterior free wall of the RV, the RV myxoma moves between the right atrium and the RV or obstructs RV inflow.…”
Section: Discussionmentioning
“…9,10 The present patient did not have evidence of pulmonary embolism in the pre-operative examinations, although the RV myxoma was big and polypoid. Catastrophic embolic complications are known to occur during induction of anesthesia and sternotomy; 4 one report describes a fragment of the myxoma embolizing at some stage prior to the application of the aortic crossclamp. 8 Because the pre-operative study had shown that the tumor occupied the right atrium during systole, we could not to destroy the tumor by fragmentation when the venous cannula was placed via the right atrium during establishment of extracorporeal circulation.…”
Section: Discussionmentioning