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Frequency of left atrial myxoma with concomitant coronary artery disease
Nevzat Erdil1, Sanser Ates, Levent Cetin
1Department of Cardiovascular Surgery, Inonu University, Turgut Ozal Medical Center, 44069 Malatya, Turkey.
Insights
Simultaneous surgical treatment for left atrial myxoma and coronary artery disease is uncommon. Routine coronary angiography is recommended for all left atrial myxoma patients to identify concurrent coronary artery disease.
Area of Science:
- Cardiovascular Surgery
- Cardiac Oncology
Background:
- Left atrial myxoma and coronary artery disease share similar patient demographics and symptoms.
- Simultaneous surgical intervention is rarely reported.
Purpose of the Study:
- To present surgical cases of left atrial myxoma with concomitant coronary artery disease.
- To highlight the importance of identifying co-existing conditions.
Main Methods:
- Eleven patients with left atrial myxoma underwent surgical resection between 1998 and 2001.
- Coronary angiography was performed preoperatively on all patients.
- Three patients underwent simultaneous coronary artery bypass grafting and myxoma resection.
Main Results:
- All patients tolerated cardiopulmonary bypass and surgery well.
- Postoperative recovery was uneventful.
- Follow-up averaged 17 months, with no symptom recurrence or myxoma detection.
Conclusions:
- Cardiovascular surgeons must consider the possibility of concurrent coronary artery disease in patients with left atrial myxoma.
- Routine preoperative coronary angiography is advised for all patients diagnosed with left atrial myxoma.
Purpose:
Simultaneous coronary artery bypass grafting with a resection of left atrial myxoma has been rarely reported. The ages and the symptoms of patients who have left atrial myxomas and coronary artery disease are similar. In this report, we present our cases of left atrial myxoma with concomitant coronary artery disease who were all treated surgically.
Methods:
Between September 1998 and January 2001, 11 patients were surgically treated after being diagnosed to have left atrial myxoma. Routine coronary angiography was performed on all patients preoperatively. In four patients concomitant coronary artery disease was identified. At surgery we performed coronary artery bypass grafting after a resection of left atrial myxoma in three patients.
Results:
All patients were weaned from cardiopulmonary bypass without any difficulty. The postoperative course was uneventful. The follow-up period was 17 +/- 10 months (range 3-32 months). All patients were symptom-free and no recurrence of myxoma was detected.
Conclusion:
Based on our experience, cardiovascular surgeons should be aware of the concomitance of these diseases. It is therefore recommended that coronary angiography should be performed on all patients who present with left atrial myxomas.