A Case Report of Bilateral Atrial Myxomas with Acute Myocardial Infarction and Multiple Brain Infarction.

VernacularTitle:心筋梗塞にて発症し多発性脳梗塞を合併した両心房内粘液腫の一治験例
Author: Nobuaki HIRATA ; Kei SAKAI ; Shigehiko SAKAKI ; Hiroshi ITO ; Susumu NAKANO ; Hikaru MATSUDA
Publication Type:Journal Article
From:Japanese Journal of Cardiovascular Surgery 1992;21(5):519-523
CountryJapan
Language:Japanese
Abstract: We experienced a very rare case in a 26-year-old man who underwent surgery for bilateral atrial myxomas. Moreover, his initial symptoms were due to acute myocardial infarction, which strongly suggested coronary artery embolization. Transesophageal echocardiography revealed not only left atrial myxoma at posterior wall, but also right atrial myxoma at the fossa ovalis which had not been detected by transthoracic echocardiography. At surgery, both left and right atriotomy was performed and bilateral atrial myxomas were completely removed. We emphasized that transesophageal echocardiography was very useful in detecting the location of myxomas, and that surgical exploration of the right atrium would have been necessary even if left atrial myxomas had not existed at the atrial septum.