title: An unusual association: right atrial myxoma and severe left ventricular dysfunction. Case report and review of the literature.
abstract: Myxomas comprise 50% of all benign cardiac tumors in adults, with the right atrium as their second most frequent site of origin. Surgical resection is the only effective therapeutic option for patients with these tumors. The association between right atrial myxomas and severe left ventricular systolic dysfunction is extremely rare and makes treatment even more challenging. This was the case for our patient, a 47-year-old male with a right atrial mass and a severely impaired left ventricular function, with a 20% ejection fraction. Global enlargement of the heart was also noted, with moderate right ventricular dysfunction. The tumor was successfully excised using the on-pump beating heart technique, with an immediate postoperative improvement of the left ventricular ejection fraction to 35%. The technique proved useful, with no increased risk to the patient.
authors.affiliation: Department of Cardiovascular Surgery, "C.C. Iliescu" Emergency Institute for Cardiovascular Diseases, Bucharest, Romania.
authors.forename: Lucian Florin
authors.initials: LF
authors.lastname: Dorobantu
authors.affiliation: Department of Cardiology, "C.C. Iliescu" Emergency Institute for Cardiovascular Diseases, Bucharest, Romania.
authors.forename: Ovidiu
authors.initials: O
authors.lastname: Chioncel
authors.affiliation: Department of Cardiovascular Surgery, "C.C. Iliescu" Emergency Institute for Cardiovascular Diseases, Bucharest, Romania.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Pasare
authors.affiliation: Department of Cardiovascular Surgery, "C.C. Iliescu" Emergency Institute for Cardiovascular Diseases, Bucharest, Romania.
authors.forename: Dorin Lucian
authors.initials: DL
authors.lastname: Usurelu
authors.affiliation: Department of Intensive Care Unit, "C.C. Iliescu" Emergency Institute for Cardiovascular Diseases, Bucharest, Romania.
authors.forename: Ioan Serban
authors.initials: IS
authors.lastname: Bubenek-Turconi
authors.affiliation: Department of Cardiovascular Surgery, "C.C. Iliescu" Emergency Institute for Cardiovascular Diseases, Bucharest, Romania.
authors.forename: Vlad Anton
authors.initials: VA
authors.lastname: Iliescu
mesh_terms: D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*