Cardiac myxoma is the most common cardiac neoplasm, for which imaging is pivotal in diagnosis and surgical excision remains the established definitive treatment.
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Reinforces imaging and surgery as standard for cardiac myxoma; leaves open needs for prospective data on emerging modalities.
Cardiac myxoma is the most common cardiac neoplasm. In the majority of cases, it is isolated (non-syndromic) and located in the left atrium. In up to 10% cases, it is seen in syndromic association with the Carney complex where it is encountered in younger patients, with atypical and multiple locations, such as the right atrium or ventricles, and carries a high risk of recurrence. Imaging is pivotal in the diagnosis, management guidance and surveillance. Surgical excision is the established definitive treatment. Further research should address management strategies in incidentally discovered small myxomas in asymptomatic patients and the role of genetic testing and screening in syndromic myxomas.
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Jain et al. (2015) studied this question.
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