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Chirurgia 2005 October;18(5):395-8

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: English

Huge right atrial myxoma with tricuspid valve endocarditis

Meier M. R., Dietl C. A., Fischer E. G., Raizada V.


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Very few patients diagnosed with right atrial myxoma associated with tricuspid valve endocarditis have been reported in the literature. We report a patient who underwent resection of a huge right atrial myxoma and tricuspid valve replacement, because of endocarditis and severe tricuspid regurgitation. The excised right atrial tumor was a glandular type atrial myxoma, and the tricuspid valve was seeded with multiple wart-like vegetations, which grew Streptococcus mutans. His postoperative course was completely uneventful. We hypothesize that the repeated endothelial trauma on the tricuspid valve caused by the large mucin-producing tumor predisposed to tricuspid valve endocarditis.

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