Myxoma of the left atrium

Autor: Thomas E. Hair, Edward S. Orgain, Will C. Sealy, Henry D. McIntosh
Rok vydání: 1962
Předmět:
Zdroj: The American Journal of Medicine. 32:560-571
ISSN: 0002-9343
DOI: 10.1016/0002-9343(62)90057-8
Popis: Myxomas of the left atrium deserve consideration when evaluating patients with suspected mitral valve disease. Careful attention to any atypical features of the history, physical examination, roentgenologic or phonocardiographic study may prove rewarding. Routine right heart catheterization seldom arouses suspicion. Angiocardiographic study is the only definite way to confirm a suspicion of myxoma preoperatively. The pertinent literature is reviewed and observations on two new cases in which the tumor was successfully removed are discussed. In one, the diagnosis was made at operation for mitral valve repair; in the other the tumor was demonstrated on the cineangiocardiogram. The episodic development, in one case, of rather striking disparity in the degree of venous engorgement in the two lung fields, ascribed to selective pulmonary vein obstruction, is offered as an additional finding which may serve to initiate suspicion and aid in the diagnosis of tumor of the left atrium.
Databáze: OpenAIRE