Atrial myxoma: Report of 24 operations using the biatrial approach

Kabbani, Sami S.; Jokhadar, Mufid; Meada, Riad; Jamil, Hisham; Abdun, Fadi; Sandouk, Aref; Nabhani, Fawzi

doi:10.1016/0003-4975(94)92234-9

Cited by 50 publications

(36 citation statements)

References 11 publications

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“…a superior left atriotomy [12], or indirectly via right atriotomy and subsequently, a transseptal incision [13,14]. A biatrial approach has also been favoured by various authors and currently appears to be the most frequently used approach to left atrial myxomas [15,16]. In our series of 21 myxoma resections, we have also used the biatrial approach in the other thirteen cases, not described in detail here.…”

Section: Discussionmentioning

confidence: 99%

Extended vertical transatrial septal approach for the removal of left atrial myxoma

Zeebregts

Schepens

Knaepen

1998

European Journal of Cardio-Thoracic Surgery

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Objective: Optimal exposure greatly facilitates left atrial myxomectomy and is mandatory for safe and efficacious tumour removal. The purpose of this study was to evaluate one institutions experience, with an alternative to the classical approach, for the removal of left atrial myxoma. Methods: In an eight-year period, eight patients underwent surgical removal of left atrial myxoma at our institution using the extended vertical transatrial septal approach, slightly modified compared to the original method of Guiraudon and associates, as the septum was initially incised superiorly instead of through the fossa ovalis. Results: One patient with poor left ventricular function died shortly after the surgical procedure because of low cardiac output. Postoperative course of the other patients was uneventful. No rethoracotomy for bleeding was carried out and no permanent arrhythmias were seen. There was one late death at 4.5 months after operation, for which no clear reason was found. Mean follow-up was 55 months (range 1 to 79 months) and revealed six asymptomatic healthy patients. Conclusions: We feel that the extended vertical transatrial septal approach provides good exposure of left atrial tumours and facilitates complete surgical removal without inherent complications such as tumour cell dissemination or fragmentation.

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Section: Discussionmentioning

confidence: 99%

Extended vertical transatrial septal approach for the removal of left atrial myxoma

Zeebregts

Schepens

Knaepen

1998

European Journal of Cardio-Thoracic Surgery

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“…Proposed advantages of this technique include only one atrial incision, adequate exposure to evaluate the mitral valve, low recurrence rates, and long-term efficaciousness [ 14]. Kabbani and colleagues [15] have criticized this approach as being inadequate to identify the site of tumor attachment and for thorough inspection of all cardiac chambers. The biatrial approach to atrial myxomas, popularized by Cooley in 1973 and reported by others [, 11], involves two incisions.…”

Section: Discussionmentioning

confidence: 99%

“…Early biatrial incision was accepted as the classical approach; however, numerous surgeons have noted that a uniatrial incision is adequate to achieve similar outcomes. (5,6,7) Aim of the present study was to review and compare the two different surgical approaches, left atriotomy (LA) or right atriotomy trans-septal incision, in cases of left atrial myxoma.…”

Section: Introductionmentioning

confidence: 99%

Comparison of two Approach – Right atrial Trans-septal versus Left atrial for Left atrial myxoma

Mishra¹,

Raut²

2016

IOSR

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“…The biatrial approach for these 2) It is now the most widely accepted method for excision of atrial myxoma since it has advantages of identification of the site of attachment, minimal manipulation and prevention of embolism of the tumor, adequate margins of excision, inspection of the four cardiac chambers, and secure closure of the iatrogenic atrial septal defect. [3][4][5][6] In the present case, surgical en-bloc resection and pathological complete resection of the tumor were accomplished using a biatrial approach. In surgery for atrial myxomas, it is important to select a method of atrial reconstruction that corresponds to the area of the iatrogenic atrial defect.…”

Section: Discussionmentioning

confidence: 99%

Extensive Resection and Double-Patch Reconstruction for Left Atrial Myxoma

Morokuma

Katayama

Kamohara

et al. 2014

ATCS

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The efficacy and safety of surgical intervention for atrial myxoma are established, but the operative approach to tumor resection and atrial reconstruction are controversial. A biatrial approach is generally used for excision of atrial myxoma and has many advantages. In contrast, there are a few reports about the method of double-patch reconstruction, and the right and left atrium are individually reconstructed with the two patches. We found it to be effective in the case reported here. We suggest that this method can be applied to atrial myxoma in which extensive resection is necessary.

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Atrial myxoma: Report of 24 operations using the biatrial approach

Cited by 50 publications

References 11 publications

Extended vertical transatrial septal approach for the removal of left atrial myxoma

Extended vertical transatrial septal approach for the removal of left atrial myxoma

Comparison of two Approach – Right atrial Trans-septal versus Left atrial for Left atrial myxoma

Extensive Resection and Double-Patch Reconstruction for Left Atrial Myxoma

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