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