Intraoperative transesophageal echocardiography successfully detected an embolized piece of a left atrial myxoma in transit to the left ventricle, enabling immediate surgical retrieval.
Case Report (n=1)
No
Intra-operative trans-oesophageal echocardiography is valuable for detecting and managing acute tumor embolization during cardiac myxoma resection.
Cardiac myxoma is the most common type of primary cardiac neoplasm. Over 70% of all cardiac myxomas originate from the left atrium (LA) and 18% from the right atrium (RA). Most myxomas present with constitutional, embolic, and obstructive manifestations. We are presenting a case where a part of myxoma got embolized intra-operatively. Using trans-oesophageal echocardiography, we were able to diagnose and image the transit of the tumor from the left ventricle to the left atrium. We removed the embolized tumor from the left atrium and prevented a dreaded complication like stroke, mesenteric ischemia, renal infarct or limb ischemia, which would have resulted in increased morbidity or mortality of the patient.
Kumar et al. (Tue,) conducted a case report in Left Atrial Myxoma (n=1). Surgical excision with intraoperative transesophageal echocardiography (TEE) was evaluated. Intraoperative transesophageal echocardiography successfully detected an embolized piece of a left atrial myxoma in transit to the left ventricle, enabling immediate surgical retrieval.
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