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The Annals of Thoracic Surgery, Vol 57, 487-488, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Infected biatrial myxoma: transesophageal echocardiography-guided surgical resection

LJ Kaplan, DS Weiman, W VanDecker, AB Sokil and GJ Whitman
Division of Cardiothoracic Surgery, Medical College Hospitals-Main Clinical Campus, Phiadelphia, 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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