European Journal of Cardio-Thoracic Surgery, Vol 9, 599-601, Copyright © 1995 by European Association for Cardio-thoracic Surgery
Unidentified retained left atrial myxoma: intra-operative detection by trans-oesophageal echocardiography [published erratum appears in Eur J Cardiothorac Surg 1995 Dec;9(12):684]
PA O'Keefe, XY Jin, M Jenkins, AA Amadi and JG Bennett
Department of Cardiothoracic Surgery, Royal Brompton National Heart & Lung Hospital, London, UK.
A 73-year-old woman underwent surgery for removal of a large left atrial
myxoma diagnosed by transthoracic echocardiogram. At operation a large
tumour was removed, and the left atrium and atrial septum closed.
Trans-oesophageal echocardiography prior to weaning from cardiopulmonary
bypass revealed that a smaller tumour, which had not been detected by
visual inspection or palpation, remained within the left atrium. This was
removed through the atrial septum, and the operation completed
uneventfully. The patient made a full recovery.