Surgical removal of a right atrial myxoma and PFO closure successfully resolved right-to-left shunting and associated hypoxemia in a patient with concurrent coronary artery disease.
Supports myxoma resection with PFO closure for shunting-related hypoxemia; leaves open generalizability beyond case reports.
Surgical treatment of a right atrial myxoma with a right-to-left shunt and coronary artery disease was successfully performed in a 61-year-old man. The interatrial shunt occurred through a patent foramen ovale and was the result of a high central venous pressure due to tricuspid stenosis and regurgitation. Instead of right heart catheterization and cardioangiography, we chose an intraoperative blood-gas study to diagnose the intracardiac shunt. Preoperative polycythemia and hypoxemia were improved after removal of the tumor and closure of the patent foramen ovale.
No takes yet. Share an insight, caveat, or question.
Kubota et al. (1993) studied this question.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: