Recurrent atrial myxoma, right atriotomy, and sinus node dysfunction: A case of interdisciplinary care

  • Erwin Argueta
  • Kelly Ratheal
  • Sofia Prieto
  • Ralph Paone
  • Leigh Ann Jenkins
  • Olusegun Oyenuga
Keywords: Atrial myxoma, atriotomy, sinus node dysfunction

Abstract

Primary cardiac tumors are rare, and atrial myxomas represent about half of the benign
tumors encountered. When found, definitive treatment is surgical resection. Following
resection of these tumors, recurrence is possible, and these patients need regular follow-up.
In the case of recurrence, repeat surgical intervention is feasible, but the potential for more
disruption in atrial anatomy has to be considered. This could contribute to cardiac arrhythmias,
and anticipation of these events is necessary to optimize patient care. We present the case
of a woman with a recurrent left atrial myxoma who developed sinus node dysfunction after
resection and discuss her clinical management.

References

Reynen K. Frequency of primary tumors of the heart. Am J

Cardiol 1996;77:107.

Elbardissi AW, Dearani JA, Daly RC, et al. Survival after

resection of primary cardiac tumors: a 48-year experience.

Circulation 2008;118:S7–15.

Vaideeswar P, Gupta R, Mishra P, et al. Atypical cardiac myxomas:

a clinicopathologic analysis and their comparison to 64

typical myxomas. Cardiovasc Pathol 2012;21:180–7.

Lee VH, Connolly HM, Brown RD, Jr. Central nervous

system manifestations of cardiac myxoma. Arch Neurol

;64:1115–20.

Hatemi AC, Gursoy M, Tongut A, et al. Left atriotomy versus

right atriotomy trans-septal approach for left atrial myxoma. J

Int Med Res 2010;38:276–81.

Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial

cardiac myxoma. A series of 112 consecutive cases. Medicine

(Baltimore) 2001;80:159–72.

Scrofani R, Carro C, Villa L,et al. [Cardiac myxoma: surgical

results and 15-year clinical follow-up]. Ital Heart J Suppl

;3:753–8.

Wang Z, Chen S, Zhu M, et al. Risk prediction for emboli

and recurrence of primary cardiac myxomas after resection.

J Cardiothorac Surg 2016;11:22.

Published
2018-07-20
How to Cite
Argueta, E., Ratheal, K., Prieto, S., Paone, R., Jenkins, L. A., & Oyenuga, O. (2018). Recurrent atrial myxoma, right atriotomy, and sinus node dysfunction: A case of interdisciplinary care. The Southwest Respiratory and Critical Care Chronicles, 6(25), 42-46. https://doi.org/10.12746/swrccc.v6i25.484