Role of transesophageal echocardiography in the recurrent biatrial myxoma of uncommon origin

Abstract

After surgical excision of myxoma recurrence usually happens adjacent to the initial origin site. We report a case of recurrent myxomas in a young male patient that had biatrial recurrence with one tumor originating very unusually from the base of the anterior mitral leaflet. Intraoperative transesophageal echocardiography was instrumental in localizing the site of the origin of left atrial myxoma from the base of the anterior mitral leaflet and in detecting an additional myxoma attached to the wall of the right atrium.

Keywords

• anterior mitral leaflet
• recurrent biatrial myxoma
• transesophageal echocardiography