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Ann Thorac Surg 1994;57:487-488
© 1994 The Society of Thoracic Surgeons

Articles

Infected biatrial myxoma: Transesophageal echocardiography-guided surgical resection

Lewis J. Kaplan, MD, Darryl S. Weiman, MD, William Vandecker, MD, Alexis B. Sokil, MD, Glenn J.R. Whitman, MD*

Divisions of Cardiothoracic Surgery and Cardiology, Medical College Hospitals-Main Clinical Campus, Philadelphia, Pennsylvania, USA

Accepted for publication June 3, 1993.

* Address reprint requests to Dr Whitman, Division of Cardiothoracic Surgery, Medical College Hospitals-Main Clinical Campus, 3300 Henry Ave, Philadelphia, PA 19129.

We identified a biatrial myxoma using transesophageal echocardiography whose right atrial component was missed with conventional transthoracic techniques. Identifying the biatrial component directs a safer approach to right heart catheterization. Infected biatrial myxomas are both rare and successfully managed using prolonged intravenous antibiotic therapy followed by resection. Atrial septal defects created during the resection of an infected myxoma may be safely repaired using a prosthetic patch.




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