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Eur J Cardiothorac Surg 2007;32:532. doi:10.1016/j.ejcts.2007.06.025
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved


Images in cardio-thoracic surgery

Right atrial myxoma with vascular supply from right and left coronary vessels

Yoan Lamarchea, Yves Héberta, Tack-Ki Leungb, Louis P. Perraulta,*

a Department of Cardiac Surgery, Montreal Heart Institute and Université de Montréal, Montreal, Quebec, Canada
b Department of Pathology, Montreal Heart Institute and Université de Montréal, Montreal, Quebec, Canada

Received 17 April 2007; received in revised form 17 April 2007; accepted 5 June 2007.

* Corresponding author. Address: Montreal Heart Institute, 5000 Belanger Street East, Montreal, Quebec, Canada H1T 1C8. Tel.: +1 514 376 3330; fax: +1 514 376 1355. (Email: louis.perrault{at}icm-mhi.org).

Key Words: Cardiac tumor • Myxoma • Coronary anatomy

Right atrial myxomas are most commonly supplied from the right coronary artery. This mass was discovered in an asymptomatic 58-year-old female (Fig. 1a). Coronary angiogram demonstrated vascular supply from the right (Fig. 2a; Video 1) and left (Fig. 2b; Video 2) coronary arteries. The myxoma was removed uneventfully (Fig. 1b).


Figure 1
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Fig. 1. Pedunculated right atrial myxoma: Echographic (a) and operative findings (b).

 

Figure 2
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Fig. 2. Right (a) and left (b) coronary angiograms demonstrating rich vascular supply to the myxoma. Dotted lines represent the contour of the myxoma, arrow points at the vascular supply originating from the right (a) and circumflex (b) coronary artery.

 
Appendix A

Supplementary data

Supplementary data associated with this article can be found, in the online version, at doi:10.1016/j.ejcts.2007.06.025.





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