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Stroke from a large left atrial myxoma.

Hirose H, Youdelman BA, Entwistle JW - Open Cardiovasc Med J (2008)

Bottom Line: A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma.Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass.After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Cardiothoracic Surgery, Thomas Jefferson University, Philadelphia, PA, USA. genex@nifty.com

ABSTRACT
A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma. Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass. After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

No MeSH data available.


Related in: MedlinePlus

Intraoperative transesophageal echocardiography after resection of the left atrial myxoma shows severe mitral regurgitation.
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Figure 4: Intraoperative transesophageal echocardiography after resection of the left atrial myxoma shows severe mitral regurgitation.

Mentions: Through a midline sternotomy, the left atrial mass was approached via the groove of Sondergaard, after the patient received 300 units per kg of heparin for cardiopulmonary bypass. A left atrial tumor arising from the atrial septum was successfully resected (Fig. 3). The defect of the septum was repaired with an ePTFE patch. After resection of the left atrial tumor, intraoperative transesophageal echocardiography disclosed severe mitral regurgitation (Fig. 4). Cardiopulmonary bypass was reestablished, and the mitral valve was examined. The mitral valve was found to be moderately thickened with a dilated annulus. There was a large central regurgitant jet through poorly coapted mitral leaflets. The subvalvular apparatus appeared to be normal. Mitral annuloplasty was performed with a complete ring (Carbomedics 28 mm complete ring). With this ring annuloplasty, excellent coaptation of the mitral leaflet was achieved and there was no residual mitral regurgitation. The patient was weaned off cardiopulmonary bypass without difficulty. His postoperative recovery was uneventful. He was discharged to skilled nursing facility on postoperative day 10. Pathological review of the specimen confirmed cardiac myxoma.


Stroke from a large left atrial myxoma.

Hirose H, Youdelman BA, Entwistle JW - Open Cardiovasc Med J (2008)

Intraoperative transesophageal echocardiography after resection of the left atrial myxoma shows severe mitral regurgitation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2627525&req=5

Figure 4: Intraoperative transesophageal echocardiography after resection of the left atrial myxoma shows severe mitral regurgitation.
Mentions: Through a midline sternotomy, the left atrial mass was approached via the groove of Sondergaard, after the patient received 300 units per kg of heparin for cardiopulmonary bypass. A left atrial tumor arising from the atrial septum was successfully resected (Fig. 3). The defect of the septum was repaired with an ePTFE patch. After resection of the left atrial tumor, intraoperative transesophageal echocardiography disclosed severe mitral regurgitation (Fig. 4). Cardiopulmonary bypass was reestablished, and the mitral valve was examined. The mitral valve was found to be moderately thickened with a dilated annulus. There was a large central regurgitant jet through poorly coapted mitral leaflets. The subvalvular apparatus appeared to be normal. Mitral annuloplasty was performed with a complete ring (Carbomedics 28 mm complete ring). With this ring annuloplasty, excellent coaptation of the mitral leaflet was achieved and there was no residual mitral regurgitation. The patient was weaned off cardiopulmonary bypass without difficulty. His postoperative recovery was uneventful. He was discharged to skilled nursing facility on postoperative day 10. Pathological review of the specimen confirmed cardiac myxoma.

Bottom Line: A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma.Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass.After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Cardiothoracic Surgery, Thomas Jefferson University, Philadelphia, PA, USA. genex@nifty.com

ABSTRACT
A 36-year-old male involved in a car accident was found to have an embolic stroke due to a left atrial myxoma. Open heart surgery was delayed 4 weeks to decrease the risk of neurologic complications from the anticoagulation required for cardiopulmonary bypass. After resection of the myxoma, intraoperative transesophageal echocardiography found severe mitral regurgitation, which was repaired.

No MeSH data available.


Related in: MedlinePlus