DOUBLE RECURRENCE OF LEFT ATRIAL-MYXOMA - A CASE-REPORT

Multiple recurrences of cardiac myxomas are rare and highlight the pro blem of re-operation. We report a case of double recurrence of left at rial myxoma. and analyse the causes of recurrence. In our case, the fi rst myxoma was inserted in the left inter-atrial septum, and the first recurrent tumor was inserted near the pulmonary vein, forming adhesio n with the inter-atrial septum. The second reccurent tumor was inserte d in the inter-atrial septum. The first operation resected the tumor, including part of the inter-atrial septum, and the sides of the septum were sutured. The two following operations used a patch for the septo plasty. This case is sporadic and not included in the high risk myxoma recurrence syndrome. Incomplete tumor resection is incriminated in on e third of recurrences but seems unlikely in our case.