Why the study?
Does preoperative coronary angiography alter surgical planning in patients with atrial myxomas?
Does preoperative coronary angiography alter surgical planning in patients with atrial myxomas?
Preoperative coronary angiography may be beneficial in all patients with atrial myxomas to detect coronary artery disease and tumor neovascularity, which can alter surgical planning.
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May inform surgical planning in myxoma patients; leaves open whether routine preoperative angiography improves outcomes.
The prevalence of coronary disease is high in patients with atrial myxomas yet routine angiography is not performed. Moreover, some tumors have angiographically detectable neovascularity, which can alter surgical planning. We report two cases that support our recommendation for performing coronary angiography in all cases diagnosed with cardiac myxomas.
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Janas et al. (2006) studied this question.
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