Key result
Concurrent atrial myxoma excision and CABG results in complication-free discharge in sinus rhythm.
Case Report (n=1)
Atrial myxomas can present with a broad array of cardiorespiratory symptoms and may be discovered incidentally during workup for other suspected conditions.
Supports feasibility of concurrent myxoma resection and CABG without complications; leaves open questions on long-term outcomes and selection.
A patient presented having a one-week history of recurrent falls and confusion and weight loss over an unspecified period of time. A chest radiograph revealed bilateral pleural effusions and the patient was treated for community acquired pneumonia. His weight loss and suspicion of malignant disease prompted computer tomography to be conducted. This revealed widespread mediastinal and oesophageal adenopathy. An echocardiogram showed a large hyperechoic mobile mass. Coronary angiography showed complete occlusion of the left anterior descending and right coronary arteries. He underwent two-vessel coronary artery bypass grafting and an atriotomy to excise the myxoma. He experienced no operative complications and no neurological deterioration and was discharged home three weeks later in sinus rhythm. Myxomas can duplicate a broad array of cardiorespiratory symptoms and signs and can often escape detection by being picked up as an incidentaloma.
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Lammy et al. (2013) conducted a case report in Atrial myxoma (n=1). Surgical excision (atriotomy) and two-vessel coronary artery bypass grafting was evaluated on Operative complications and neurological deterioration. Surgical excision of a massive atrial myxoma and concurrent coronary artery bypass grafting resulted in no operative complications and discharge in sinus rhythm.
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