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Ann Thorac Surg 1998;66:285-288
© 1998 The Society of Thoracic Surgeons

Collective Reviews

Recurrent cardiac myxoma: seeding or multifocal disease?

Amihay Shinfeld, MDa, Takahiro Katsumata, MDa, Stephen Westaby, FRCSa

a Department of Cardiac Surgery, Oxford Heart Centre, John Radcliffe Hospital, Oxford, England, UK

Address reprint requests to Dr Westaby, Department of Cardiac Surgery, Oxford Heart Centre, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, England

We describe a patient with left atrial myxoma followed by a second lesion in the left ventricle. Previous reports of "recurrent" myxoma were studied, with the following conclusions: There is little evidence for the process of myxoma seeding, local recurrence can occur through inadequate resection or malignant change, and many alleged recurrences are at a different site and multifocal disease occurs frequently in the familial setting.




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