Key result
Intraoperative transesophageal echocardiography facilitated the diagnosis and optimized the surgical management of a large left atrial myxoma attached to the anterior mitral leaflet.
Case Report (n=1)
This case highlights the importance of intraoperative TEE in facilitating and optimizing the surgical management of patients with left atrial myxoma.
May support intraoperative TEE in select myxoma cases; single case report leaves open prospective validation.
The case of a 55-year-old woman is presented, whose clinical signs were initially suggestive of infective endocarditis. Transthoracic echocardiography (TTE) provided the diagnosis of a large left atrial myxoma attached to the anterior mitral leaflet. Perioperative transesophageal echocardiography (TEE) confirmed preoperative findings and assisted the surgical team in the assessment of tumour size, area of attachment, and mobility. Following tumour resection, TEE demonstrated residual moderate mitral valve regurgitation, which resulted in a change of surgical strategy. This report reinforces the importance of intraoperative TEE to facilitate and optimize surgical and anaesthesiological management of patients presenting with non-specific cardiorespiratory symptoms.
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Erdoes et al. (2009) conducted a case report in Left atrial myxoma (n=1). Transesophageal echocardiography (TEE) and tumour resection was evaluated on Diagnosis and surgical management. Intraoperative transesophageal echocardiography facilitated the diagnosis and optimized the surgical management of a large left atrial myxoma attached to the anterior mitral leaflet.
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