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Ann Thorac Surg 2003;75:1323-1324
© 2003 The Society of Thoracic Surgeons

Case report

Multifocal right atrial myxoma and pulmonary embolism

Alden M. Parsons, MDa, Frank C. Detterbeck, MDa*

a Division of Cardiothoracic Surgery, Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA

Accepted for publication September 27, 2002.

* Address reprint requests to Dr Detterbeck, Division of Cardiothoracic Surgery, CB# 7065, 108 Burnett-Womack Building, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7065, USA
e-mail: fdetter{at}med.unc.edu

Multifocal cardiac myxoma with greater than two foci is rarely reported in the literature. We report a case of a 22-year-old woman who presented with profound right heart failure, and was found to have seven right atrial myxomas with bilateral pulmonary embolism, including near-complete occlusion of right pulmonary arterial flow. Multifocal atrial myxoma occurs most often in the familial setting, and often is associated with recurrence. Her disease was nonfamilial. She was successfully treated with surgical resection, and has had complete recovery with no evidence of recurrence over a 4-year period.




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