Atrial myxomas are the most common primary cardiac neoplasm. The majority (75%–80%) are located in the left atrium at the base of the foramen ovalis. Surgical removal can prevent dangerous obstructive or thromboembolic sequelae.
Atypically located tumors may present technical challenges requiring case-specific surgical adaptations when visualization or surrounding cardiac structures are compromised.
We describe 3 cases of atypically located atrial myxomas that required preoperative transesophageal echocardiography and computed tomography to afford the optimal surgical approach.
These cases highlight the potential need for multimodality imaging of atypically located atrial myxomas to determine the optimal technical approach for excision. Clin. Cardiol. 2012 doi: 10.1002/clc.22027
The authors have no funding, financial relationships, or conflicts of interest to disclose.