Large left atrial myxoma with severe mitral regurgitation: the inverted T-shaped biatrial incision revisited.
Cardiac myxomas are primary cardiac tumors. In some cases of atrial myxoma, the standard left atriotomy alone does not enable safe tumor resection and easy access to the mitral valve. We report the cases of 2 patients with huge left atrial myxomas associated with severe mitral valve regurgitation who underwent an inverted T-shaped biatrial incision for tumor excision and mitral repair. This approach reduces tumor fragmentation and permits good mitral valve exposure.
Department of Cardiothoracic Surgery, University of Siena, Italy.
Giuseppe
G
Davoli
Luigi
L
Muzzi
Gianluca
G
Lucchese
Nicola
N
Uricchio
Mario
M
Chiavarelli
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000601:surgery*; D009232:Myxoma / Q000150:complications* / Q000601:surgery*; D012720:Severity of Illness Index