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Ernst Wolner
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Ann Thorac Surg 2006;82:2296-2298
© 2006 The Society of Thoracic Surgeons

Case Reports

Cystic Formation of the Foramen Ovale Mimicking a Right Atrial Myxoma

Gernot Seebacher, MDa, Thomas Binder, MDb, Herbert Frank, MDb, Ernst Wolner, MDa, Werner Mohl, MD, PhDa,*

a Department of Cardiothoracic Surgery, Medical University of Vienna, Vienna, Austria
b Department of Internal Medicine II, Cardiology, Medical University of Vienna, Vienna, Austria

Accepted for publication April 14, 2006.

* Address correspondence to Dr Mohl, Department of Cardiothoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, Vienna, A-1090 Austria. (Email: werner.mohl{at}meduniwien.ac.at).

A 65-year-old woman presented with shortness of breath, stenocardia, and tachycardia. She underwent several steps of examination. Echocardiography showed a suspicious formation in the right atrium extending into the inferior caval vein. The lesion was suspicious for a myxoma, a thrombus, or a malformation. Intraoperatively this formation presented as a cystic formation connected to the right atrial wall in the area of the foramen secundum and filled with blood and five calcified thrombi. We hypothesize that a slit-like opening in the foramen ovale produced a valve-like mechanism bulging parts of the septum secundum and produced this cystic formation.






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