Abstract
In a patient who had a calcified left atrial myxoma resected, recurrence developed 31 months later. Although complete radical resection of the recurrent tumour presented a special problem, the patient survived the second operation. The tumour recurred again and the patient had two episodes of cerebral embolism 1 1/2 and 2 years later, respectively, and died 3 1/2 years after the second operation. The erythrocyte sedimentation rate correlated with the size of the tumor, and the recurrent tumour seemed to grow more rapidly than the primary tumour. Experience with this case and a review of the nine reported cases of recurrent left atrial myxoma suggest that a radical approach is necessary at the primary operation.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bahl O. P., Oliver G. C., Ferguson T. B., Schad N., Parker B. M. Recurrent left atrial myxoma. Report of a case. Circulation. 1969 Nov;40(5):673–676. doi: 10.1161/01.cir.40.5.673. [DOI] [PubMed] [Google Scholar]
- Castaneda A. R., Varco R. L. Tumors of the heart: surgical considerations. Am J Cardiol. 1968 Mar;21(3):357–362. doi: 10.1016/0002-9149(68)90139-2. [DOI] [PubMed] [Google Scholar]
- Firor W. B., Aldridge H. E., Bigelow W. G. A follow-up study of three patients after removal of left atrial myxoma five to ten years previously. J Thorac Cardiovasc Surg. 1966 Apr;51(4):515–520. [PubMed] [Google Scholar]
- Gerbode F., Kerth W. J., Hill J. D. Surgical management of tumors of the heart. Surgery. 1967 Jan;61(1):94–101. [PubMed] [Google Scholar]
- Goodwin J. F. The spectrum of cardiac tumors. Am J Cardiol. 1968 Mar;21(3):307–314. doi: 10.1016/0002-9149(68)90135-5. [DOI] [PubMed] [Google Scholar]
- Hardin N. J., Wilson J. M., 3rd, Gray G. F., Gay W. A., Jr Experience with primary tumors of the heart. Clinical and pathological study of seventeen cases. Johns Hopkins Med J. 1974 Mar;134(3):141–155. [PubMed] [Google Scholar]
- Kelly M., Bhagwat A. G. Ultrastructural features of a recurrent endothelial myxoma of the left atrium. Arch Pathol. 1972 Mar;93(3):219–226. [PubMed] [Google Scholar]
- Maranhao V., Fernandez J., Gooch A. S., Morse D., Nichols H. T., Goldberg H. Resection of regrowth of a left atrial myxoma complicated by complete heart block three years following its primary resection. J Cardiovasc Surg (Torino) 1973 May-Jun;14(3):338–343. [PubMed] [Google Scholar]
- Newman H. A., Cordell A. R., Prichard R. W. Intracardiac myxomas. Literature review and report of six cases, one successfully treated. Am Surg. 1966 Apr;32(4):219–230. [PubMed] [Google Scholar]
- Selzer A., Sakai F. J., Popper R. W. Protean clinical manifestations of primary tumors of the heart. Am J Med. 1972 Jan;52(1):9–18. doi: 10.1016/0002-9343(72)90003-4. [DOI] [PubMed] [Google Scholar]
- Walton J. A., Jr, Kahn D. R., Willis P. W., 3rd Recurrence of a left atrial myxoma. Am J Cardiol. 1972 Jun;29(6):872–876. doi: 10.1016/0002-9149(72)90510-3. [DOI] [PubMed] [Google Scholar]
- Zackai A. H., Weber D. J., Ramsby G., Wong B. Recurrence of left atrial myxoma. J Cardiovasc Surg (Torino) 1974 Jul-Aug;15(4):467–471. [PubMed] [Google Scholar]