Left atrial approach to big myxoma with angiographically visible neovascularity - Report of one case

In this article, we report a 65-year-old man with a large atrial myxoma ari sing from the posterior wall and from the base of the right inferior pulmon ary vein. The big neoplastic mass showed a large implant site. A rare atria l myxoma neovascularity arising from the atrial circumflex artery was very clearly visualized by selective coronary arteriography. The surgical approa ch used to resect this tumor was an isolated left atriotomy that provided e xcellent exposure and safe excision.