Unidentified Retained Inferior Vena Cava Myxoma Detected by Intra-Operative Trans-Oesophageal Echocardiography

Abstract

We report a unilateral right atrial familial myxoma with a multicentric nature discovered during cardiac surgery. After the patient was weaned off cardiopulmonary bypass, an inferior vena cava myxoma was discovered with intra-operative trans-oesophageal echocardiogram (TOE) which had been missed preoperatively and during surgery.

Cardiovascular surgery - heart disease - thoracic surgery

References

• 1 Irani A D, Estrera A L, Buja L M, Safi H J. Biatrial myxoma: a case report and review of the literature.  J Card Surg. 2008;  23 (4) 385-390
• 2 Casey M, Mah C, Merliss A D. Identification of a novel genetic locus for familial cardiac myxomas and Carney complex.  Circulation. 1998;  98 (23) 2560-2566
• 3 Casey M, Vaughan C J, He J. Mutations in protein kinase A R1alpha regulatory subunit cause familial cardiac myxomas and Carney complex.  J Clin Invest. 2000;  106 (5) R31-R38
• 4 Parsons A M, Detterbeck F C. Multifocal right atrial myxoma and pulmonary embolism.  Ann Thorac Surg. 2003;  75 (4) 1323-1324
• 5 O'Keefe P A, Jin X Y, Jenkins M, Amadi A A, Bennett J G. Unidentified retained left atrial myxoma: intra-operative detection by trans-oesophageal echocardiography.  Eur J Cardiothorac Surg. 1995;  9 (10) 599-601