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MIXOMA BIAURICULAR: PRESENTACIÓN DEL PRIMER CASO OPERADO EN EL CARDIOCENTRO ERNESTO CHE GUEVARA / Biatrial myxoma: presentation of the first case operated on at the Ernesto Che Guevara Cardiology Hospital

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Author(s): Roberto Bermúdez Yera | Álvaro Lagomasino Hidalgo | Gustavo de Jesús Bermúdez Yera | Yuri Medrano Plana | Alejandro González Díaz | Luis Monteagudo Lima | Jean Luis Chao García | Yoandy López de la Cruz

Journal: CorSalud
ISSN 2078-7170

Volume: 2;
Issue: 2;
Start page: 164;
Date: 2010;
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Keywords: Cardiac surgery | myxoma

ABSTRACT
Left atrial myxoma is the most common primary cardiac tumor in clinical practice. However, the myxomas that grow at both sides of the interatrial septum are rare. The case of a 65-year-old white patient is presented here. The transthoracic echocardiogram showed a large mass in the right atrium which was compatible with an atrial myxoma; therefore, a surgical treatment was decided. A right atriotomy with resection of the tumor was carried out. The interatrial septum was opened and its pedicle was resected with an oncologic security margin. The presence of the tumor mass, also on the left surface of the septum, was confirmed. The septal defect was closed with a patch of autologous pericardium. The myxoma was polylobulated with arborescent aspect, and measured about 10 x 8 cm, weighing 89 grams. The patient evolved satisfactorily and was discharged 11 days after the surgical intervention.

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