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J Thorac Cardiovasc Surg 2007;134:263-264
© 2007 The American Association for Thoracic Surgery

Brief Communication

Concurrent primary cardiac tumors

Tulsi Menon, MBBS*, Yuki Watanabe, MBBS, David Andrews, MBBS, FRACS

Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.

Received for publication February 2, 2007; accepted for publication February 12, 2007.

* Address for reprints: Tulsi Menon, MBBS, 19 Morgan Rd, Redcliffe WA 6104, Australia. (Email: kaltul@optusnet.com.au).

The first 20% of the full text of this article appears below.

Clinical Summary

An 80-year-old woman was referred to a cardiologist with recurrent palpitations, atrial fibrillation, and flutter. Investigation with an echocardiogram revealed a mass (believed to be a myxoma) on the fossa ovalis, extending into the left atrium and then out near the right superior pulmonary vein, where it became frond-like and friable. She was subsequently referred for surgical intervention to remove the myxoma. She was otherwise relatively well.

Intraoperatively, after the patient was commenced on bypass and the aorta was crossclamped, an incision to the atrial septum was performed on the tricuspid valve side of the fossa ovalis. Affixed to the atrial fossa was a sessile mass, the atrial myxoma, extending into the left atrium. Distant from this mass, situated in the posterior wall of the left atrium (near the origin of the right superior pulmonary vein), was a frond-like mass, a papillary fibroelastoma, with frond lengths measuring around 1.5 cm and the base . . . [Full Text of this Article]






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