Intraoperative transesophageal echocardiography assessment of right atrial myxoma resulting in a change of the surgical plan

Dharmalingam, Sathish Kumar; Sahajanandan, Raj

doi:10.4103/0971-9784.142072

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…Finally, transesophageal echocardiogram (TEE) can provide excellent views as in our case, assess the mobility of the mass, and can also determine the location of the tumor and its relation to other major landmarks such as the valve apparatus. [9] The role of TEE is pivotal as it provides vivid images of the mass and facilitates a surgeon–operator interaction for optimal decision-making and management. TEE also confers the benefit of detecting small masses or unclear cardiac structures, especially when a transthoracic echocardiogram is suboptimal.…”

Section: Discussionmentioning

confidence: 99%

Surgical resection of a cardiac lipoma of the right ventricle

et al. 2019

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Section: Discussionmentioning

confidence: 99%

Surgical resection of a cardiac lipoma of the right ventricle

et al. 2019

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“…Echocardiographic detection of a pedunculated, smooth mobile mass sitting in the LA is almost pathognomonic of LA myxoma [19]. Transesophageal echocardiography (TEE) can detect masses as small as 1-3 mm and provide more details about the exact location, dimensions, and appearance of the tumor, but it is not used routinely for diagnosis, it is reserved for cases of unsure diagnosis or intra-operative assessment [20]. In our series, the tumors were diagnosed in all cases by TTE.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Myxomas: A single center experience and ten-years follow up

Mohamed

Ghaffar

Abdelaal

et al. 2019

Egypt. Cardiothoracic. Surg.

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Background: Cardiac myxoma is a benign tumor that carries the risk of embolization and obstruction of the blood flow. The ideal surgical approach is still debatable. We present our experience in the surgical treatment of cardiac myxomas and its ideal surgical approach. Methods: We retrospectively analyzed the data for all patients who underwent surgical excision of cardiac myxoma at our institution over 11 years starting from January 2006 to December 2016. Descriptive statistics were used to present preoperative, operative and postoperative data and Kaplan Meier curve to plot long-term survival. Results: Twenty-one patients had surgical excision of a primary, single and sporadic cardiac myxoma. Thirteen patients (62 %) were females, and the mean age at operation was 55.2 years (range: 28 -71 years). The location of myxomas was in the left atrium in 17 patients (81%) and right atrium in 4 patients (19 %). Dyspnea was the main presenting symptom (71.4%) followed by constitutional symptoms (28%), palpitations (23.8%), syncope (14.2%) and stroke (14.2%). A right atrial trans-septal incision was used in 76.5% of left atrial myxoma cases. Five patients had concomitant operative procedures (coronary artery bypass grafting (n=2), tricuspid valve repair (n=1), mitral valve replacement (n=1) and bullectomy (n=1)). Postoperative complications were reported in six patients (28.6%) (supraventricular arrhythmia (n=2), temporary conduction deficit (n=2), pulmonary atelectasis (n=1), and postoperative bleeding (n=1)). Early postoperative mortality occurred in one patient (4.76 %), and there were no late deaths related to myxoma. Conclusion: Surgical treatment of cardiac myxoma is safe with low morbidity and mortality. The right atrial trans-septal incision is the recommended surgical approach.

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“…Most reports describe intracardiac masses such as thrombi, lipomas, and myxomas as well as masses of unknown etiology [ 1 ]. Fewer reports exist on the echocardiographic assessment and surgical guidance on the resection of intracardiac masses [ 2 , 3 ]. Only a handful of reports exist describing cardiac compression from external masses [ 4 – 6 ].…”

Section: Discussionmentioning

confidence: 99%

Utilization of Intraoperative TEE to Assess Supraventricular Tachycardia-Inducing Right-Sided Cardiac Compression by the Liver, Post-Liver-Transplantation Status

Stoll

Hand

Rohan

et al. 2015

Case Reports in Transplantation

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This unique and interesting case report involves a patient who recently underwent a combined liver and kidney transplant (due to autosomal dominant polycystic kidney disease) and subsequently suffered from episodes of supraventricular tachycardia (SVT) secondary to the new liver graft compressing the right atrium and ventricle. After this was diagnosed, the patient underwent operative plication of the right hemidiaphragm. Intraoperative transesophageal echocardiography was used to demonstrate cardiac compression from the liver and demonstrate resolution of compression after plication of the hemidiaphragm.

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Intraoperative transesophageal echocardiography assessment of right atrial myxoma resulting in a change of the surgical plan

Cited by 6 publications

References 6 publications

Surgical resection of a cardiac lipoma of the right ventricle

Surgical resection of a cardiac lipoma of the right ventricle

Cardiac Myxomas: A single center experience and ten-years follow up

Utilization of Intraoperative TEE to Assess Supraventricular Tachycardia-Inducing Right-Sided Cardiac Compression by the Liver, Post-Liver-Transplantation Status

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