Sakarya Tıp Dergisi (Dec 2015)
Giant Left Atrial Myxoma Prolapsed To Left Ventricule With Every Cardiac Cyclus Operated With Biatrial Transseptal Incision
Abstract
Primary cardiac tumors are rarely seen.Most of the intracardiac tumors are benign characterised and mainly seen benign cardiac tumor is myxoma.Our patient was 40 years old woman.She is referring with dyspnea complaint to the Chest Diseases clinic for several times.Echocardiography was performed in Cardiology clinic and a giant left atrial mass(myxoma;5x3 cm diameter) prolapsed to left ventricle through mitral valve with every cardiac cycle was seen.Left ventricle ejection fraction was normal,PABs was 75 mmHg and mild to moderate mitral valve insufficiency was seen.Operation performed with cardiopulmonary bypass and after cross clamping to aorta Dubost’s biatrial transseptal incision done.Myxoma was originated from interatrial septum.Myxoma resected and after resection mitral valve assessed; leaflet coaptation and anotomy were normal.Interatrial septum and atrium was repaired with pericardial patch.Intensive care unit and service follow-up of the patient was normal.Postoperative echocardiography has done and PABs decreased to 35mmHg,mitral valve insufficiency has decreased too. Patient was discharged as healthy.Even though intracardiac tumors are benign characterised; these tumors can cause embolisation, thrombus formation and valve incompetence and etc.Successful results can be obtained in the presence of cardiopulmonary bypass and surgeon should be aware of resecting the tumor completely to prevent recurrence.
