Multidisciplinary Approach to Right Ventricular Myxoma

Abstract Right ventricular (RV) myxoma that obstructs the RV outflow tract is rare. Multimodality imaging is crucial due to the curved and triangular shape of the RV anatomy. Incomplete resection by the right atrial approach in cardiac myxomas may be prevented by preoperative imaging with echocardio...

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Main Authors: Ali Karagöz, Berhan Keskin, Ahmet Karaduman, Seda Tanyeri, Taylan Adademir
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular
Series:Brazilian Journal of Cardiovascular Surgery
Subjects:
Online Access:http://www.scielo.br/pdf/rbccv/v36n2/0102-7638-rbccv-2020-0177.pdf
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author Ali Karagöz
Berhan Keskin
Ahmet Karaduman
Seda Tanyeri
Taylan Adademir
author_facet Ali Karagöz
Berhan Keskin
Ahmet Karaduman
Seda Tanyeri
Taylan Adademir
author_sort Ali Karagöz
collection DOAJ
description Abstract Right ventricular (RV) myxoma that obstructs the RV outflow tract is rare. Multimodality imaging is crucial due to the curved and triangular shape of the RV anatomy. Incomplete resection by the right atrial approach in cardiac myxomas may be prevented by preoperative imaging with echocardiography, computed tomography and magnetic resonance imaging to provide detailed visualization. Right ventriculotomy may be an alternative approach to the isolated atrial approach to get complete resection of RV myxoma in suitable patients. The preferred surgical treatment is not well defined for ventricular myxomas and careful preoperative planning is essential. Surgical resection should be performed as soon as possible to avoid outflow tract obstruction, which might result in sudden death. The collaboration between cardiologist and heart surgeon and the effective use of imaging tools are essential for successful treatment. In this article, diagnosis and treatment and the heart team approach to RV myxoma are discussed with a demonstrative patient.
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spelling doaj.art-6a6e32a4709b43d29e9530ae8c41bf442022-12-22T00:26:35ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974110.21470/1678-9741-2020-0177Multidisciplinary Approach to Right Ventricular MyxomaAli KaragözBerhan KeskinAhmet KaradumanSeda TanyeriTaylan AdademirAbstract Right ventricular (RV) myxoma that obstructs the RV outflow tract is rare. Multimodality imaging is crucial due to the curved and triangular shape of the RV anatomy. Incomplete resection by the right atrial approach in cardiac myxomas may be prevented by preoperative imaging with echocardiography, computed tomography and magnetic resonance imaging to provide detailed visualization. Right ventriculotomy may be an alternative approach to the isolated atrial approach to get complete resection of RV myxoma in suitable patients. The preferred surgical treatment is not well defined for ventricular myxomas and careful preoperative planning is essential. Surgical resection should be performed as soon as possible to avoid outflow tract obstruction, which might result in sudden death. The collaboration between cardiologist and heart surgeon and the effective use of imaging tools are essential for successful treatment. In this article, diagnosis and treatment and the heart team approach to RV myxoma are discussed with a demonstrative patient.http://www.scielo.br/pdf/rbccv/v36n2/0102-7638-rbccv-2020-0177.pdfCardiac Tumors (Incl Primary, Metastatic)Myxoma, Imaging (All Modalities; Specify Target)
spellingShingle Ali Karagöz
Berhan Keskin
Ahmet Karaduman
Seda Tanyeri
Taylan Adademir
Multidisciplinary Approach to Right Ventricular Myxoma
Brazilian Journal of Cardiovascular Surgery
Cardiac Tumors (Incl Primary, Metastatic)
Myxoma, Imaging (All Modalities; Specify Target)
title Multidisciplinary Approach to Right Ventricular Myxoma
title_full Multidisciplinary Approach to Right Ventricular Myxoma
title_fullStr Multidisciplinary Approach to Right Ventricular Myxoma
title_full_unstemmed Multidisciplinary Approach to Right Ventricular Myxoma
title_short Multidisciplinary Approach to Right Ventricular Myxoma
title_sort multidisciplinary approach to right ventricular myxoma
topic Cardiac Tumors (Incl Primary, Metastatic)
Myxoma, Imaging (All Modalities; Specify Target)
url http://www.scielo.br/pdf/rbccv/v36n2/0102-7638-rbccv-2020-0177.pdf
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AT berhankeskin multidisciplinaryapproachtorightventricularmyxoma
AT ahmetkaraduman multidisciplinaryapproachtorightventricularmyxoma
AT sedatanyeri multidisciplinaryapproachtorightventricularmyxoma
AT taylanadademir multidisciplinaryapproachtorightventricularmyxoma