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The impact of preoperative imaging for atypical atrial myxoma locations
Daniel Edwdard Hatz1, Daren Danielson, J Nilas Young
1Department of Cardiothoracic Surgery, University of California-Davis, Sacramento, California, USA. daniel.hatz@shaw.af.mil
Background:
Atrial myxomas are the most common primary cardiac neoplasm. The majority (75%-80%) are located in the left atrium at the base of the foramen ovalis. Surgical removal can prevent dangerous obstructive or thromboembolic sequelae.
Hypothesis:
Atypically located tumors may present technical challenges requiring case-specific surgical adaptations when visualization or surrounding cardiac structures are compromised.
Methods:
We describe 3 cases of atypically located atrial myxomas that required preoperative transesophageal echocardiography and computed tomography to afford the optimal surgical approach.
Conclusions:
These cases highlight the potential need for multimodality imaging of atypically located atrial myxomas to determine the optimal technical approach for excision.
