The Distribution Patterns of Biatrial Myxomas

Imperio, John; Summers, Donald; Krasnow, Norman; Piccone, Vincent A.

doi:10.1016/s0003-4975(10)61682-7

Cited by 48 publications

(20 citation statements)

References 13 publications

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“…It is proposed that they either represent growth in both directions from a single focus in the interatrial septum [11], or the stalk may have invaded through the septum into the opposite chamber. The stalks do not share a common base in the atrial septum in 25% of cases [3], as was the situation in our patient where the stalks appeared to have separate origins.…”

Section: Discussioncontrasting

confidence: 42%

Massive Biatrial Myxomas in a Child

et al. 1999

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Section: Discussioncontrasting

confidence: 42%

Massive Biatrial Myxomas in a Child

et al. 1999

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“…Yipintsoi et al described the first successful removal of a biatrial myxoma in 1967 [22]. The most common distribution pattern for these rare tumours is to arise from opposite sides of the interatrial septum [23]. However our diagnosis was made only during surgery in our case.…”

Section: Discussionmentioning

confidence: 65%

Cardiac myxomas – 22 years single center experience

Muthubaskaran

Anitha

Padmanabhan

et al. 2010

Indian J Thorac Cardiovasc Surg

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Background Primary cardiac tumors are rare with an incidence of 0.0013 and 0.03% in collected autopsy series. 75% of primary cardiac tumors are benign. In adults 50% of benign cardiac tumors are myxomas. This report summarizes our 22 year experience with cardiac myxomas. Aim of our study was to analyse the presentation of myxoma and review the short and long term outcome after myxoma excision. Methods During the years 1986 to 2007, 32 patients were operated for myxoma.13 male (40.7%) and 19 female (59.3%) within an age range of 16 to 72 years, underwent surgical excision of primary or recurrent intra cardiac tumors. Seven patients (21.87%) presented with obstructive symptoms and 12 patients (37.55%) with embolic manifestations. In the embolic group, five patients (41.6%) had peripheral artery embolism and six (50%) had a cerebrovascular event and one presented with Left Pulmonary Artery embolism (8.33%). Twenty two patients (72.2%) had left atrial myxoma, eight patients (22.2%) had right atrial myxomas and two patients (5.5%) had biatrial myxomas. Two of the left atrial myxomas (6.25%) were recurrent lesion. The Surgical management was complete wide excision on Cardio pulmonary bypass. Results There were no early deaths. Twenty seven patients are on regular follow-up in class I symptoms with no documented recurrences. Conclusion Obstructive symptoms is the common mode of presentation followed by embolic manifestation. Transthoracic echocardiography, supplemented by trans esophageal echocardiography when necessary forms the mainstay of diagnosis. Surgical excision of atrial myxoma gives excellent short term and long term results.

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“…1,2 BMs are often attached to opposite sides of the interatrial septum close to the fossa ovalis by stalks, and they grow in both directions; they are sometimes attached directly. 3 Echocardiography usually reveals the interatrial septum lying between the myxomas; therefore, it should be easy for a physician who can recognize rare cardiac tumors to make a diagnosis of BM. However, an intraseptal BM that occupies the interatrial septum and grows expansively toward both directions is rare.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 BMs usually attach to a common base in the interatrial septum by stalks and grow from the septum in both directions. 3 We encountered a BM occupying the interatrial septum, an intraseptal BM, that was successfully excised via the superior septal approach (SSA).…”

Section: Introductionmentioning

confidence: 99%

Intraseptal biatrial myxoma excised via the superior septal approach

Totsugawa

Kurabayashi

Nishigawa

et al. 2008

Gen Thorac Cardiovasc Surg

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A 72-year-old man suffering from exertional dyspnea was admitted to our hospital. A computed tomography scan revealed a huge tumor occupying the interatrial septum and growing toward both the right and left atria. The tumor was successfully excised via the superior septal approach. Histological examination of the surgical specimen revealed that it was a myxoma. The patient recovered uneventfully and was discharged from our hospital 28 days after surgery. He received a permanent pacemaker implant due to sick sinus syndrome 12 months after surgery. To our knowledge, this is the first report of resection of intraseptal biatrial myxoma.

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The Distribution Patterns of Biatrial Myxomas

Cited by 48 publications

References 13 publications

Massive Biatrial Myxomas in a Child

Massive Biatrial Myxomas in a Child

Cardiac myxomas – 22 years single center experience

Intraseptal biatrial myxoma excised via the superior septal approach

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