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Ann Thorac Surg 1990;49:312-313
© 1990 The Society of Thoracic Surgeons

Articles

Intracavitary melanoma of the left atrium

Charles C. Canver, MD, Thomas Z. Lajos, MD*, Zale Bernstein, MD, Dennis P. DuBois, MD, Robert M. Mentzer, Jr, MD

Division of Cardiothoracic Surgery, Department of Surgery, School of Medicine and Biomedical Sciences, State University of New York, and Roswell Park Memorial Institute, Buffalo, New York USA

Accepted for publication July 25, 1989.

* Address reprint requests to Dr Lajos, Department of Surgery, State University of New York at Buffalo, The Buffalo General Hospital, 100 High St. Buffalo, NY 14203.

A 32-year-old man was seen with shortness of breath and increasing fatigue. Echocardiography revealed an intracavitary mass occupying the entire left atrium. The lesion was resected using cardiopulmonary bypass and found to be a large malignant melanoma. This case represents the rare occasion in which antemortem diagnosis of malignant melanoma within left atrium permitted successful palliative surgical resection. The patient is alive and active 6 months after operation.




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