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Case Reports

Novel Strategies for Recurrent Cardiac Myxoma

Department of Cardiothoracic Surgery, Royal Adelaide Hospital, Adelaide, Southern Australia, Australia

Accepted for publication November 29, 2007.

^_* Address correspondence to Mr Edwards, Department of Cardiothoracic Surgery, Royal Adelaide Hospital, North Terrace, Adelaide, Southern Australia, 5000, Australia (Email: patricia.smith{at}health.sa.gov.au).

A 21-year-old man presented with a stroke. Subsequent investigations revealed cardiac tumors in his left atrium and right ventricle. These were removed by conventional techniques. Histopathology confirmed them as myxomas. He had a complete neurologic recovery, but presented 2 years later with recurrence of a cardiac myxoma in his left ventricle and left atrium. This time, however, endoscopically assisted techniques were used. The tumor was excised with supplementary cryoablation. The patient made a quick recovery from this second procedure and has had no recurrence after a 1-year follow-up.