Mitral valve recurrence of a left atrial myxoma

Navid Sadeghi, Sarmad Sadeghi, Abbasali Karimi

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Recurrence of intracardiac myxoma is unusual, and heart valves are extremely rare locations for this tumor to originate, either as the primary site or the site of recurrence. We present a case of non-familial cardiac myxoma, which after successful resection of the tumor mass from the left atrium, recurred in the atrial surface of anterior leaflet of the mitral valve, along with a review of similar cases in the literature. Myxoma was originally believed to recur due to inadequate resection, but recent data suggest the multicenteric disease to be the reason. Mitral valve myxoma mainly presents with symptoms of embolization and appears to affect women more often. It involves both leaflets with the same frequency and usually originates from the atrial side. Transesophageal echocardiography is the gold standard for non-invasive diagnosis and localization. Operative resection of the tumor along with the underlying tissue followed by suture repair of the valve and annuloplasty is recommended as the most appropriate treatment option. Long-term follow-up of patients by echocardiography is advised for early detection of any recurrence.

Original languageEnglish (US)
Pages (from-to)568-573
Number of pages6
JournalEuropean Journal of Cardio-thoracic Surgery
Volume21
Issue number3
DOIs
StatePublished - 2002

Keywords

  • Mitral valve
  • Myxoma
  • Recurrence

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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