Ockham's razor or Hickam's dictum: a right atrial mass following excision of left atrial myxoma.
We report a case of a 54-year-old man presenting with a right atrial mass 7 months after undergoing a left atrial myxoma excision surgery. The differential diagnosis included recurrent myxoma or thrombus. The patient underwent repeat open sternotomy on cardiopulmonary bypass. Histopathological evaluation of the mass revealed an organizing thrombus. This report is, to our knowledge, the first that demonstrates right atrial thrombus shortly following excision of left atrial myxoma.
Abramowitz
Yigal
Y
Department of Internal Medicine, Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem 91240, Israel. yigalab@yahoo.com
Perlman
Gidon
G
Levy
Eli
E
Beeri
Ronen
R
Chajek-Shaul
Tova
T
Leibowitz
David
D
D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006325:Heart Atria; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000000981:diagnostic imaging* / Q000601:surgery; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology; D014463:Ultrasonography