Key result
Conservative management of left atrial myxoma demonstrates slow tumor growth of ~0.2 cm2/year without symptoms.
Case Report (n=1)
No
Conservative management of left atrial myxoma may be a viable option in high-risk operative candidates, given the potential for slow growth and lack of symptoms.
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May support observation in select frail patients; leaves open need for prospective data before practice change.
The case described is an 89-year-old male patient with a left atrial myxoma, first visualised in 1997, who was a poor operative candidate owing to severe chronic obstructive pulmonary disease (COPD). The tumour had a cross-sectional growth rate of only 0.2 cm2 per year and was asymptomatic over 79 months follow-up: the longest reported follow-up period of a non-calcified myxoma. The report highlights the variety of growth rates described for myxoma in the literature and raises the possibility of a conservative management approach, particularly in high-risk operative candidates.
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Waqas Ullah (2005) conducted a case report in Left atrial myxoma (n=1). Conservative management was evaluated on Tumour growth rate and symptoms. Conservative management of a left atrial myxoma in an 89-year-old poor operative candidate resulted in a slow growth rate of 0.2 cm2 per year and no symptoms over 79 months.
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