Abstract:

Cardiac myxoma is the most common primary tumors of heart. Due to common location in left atrium, it may prolapse to various degrees into the mitral valve orifice and may cause mitral insufficiency after resection. In this report, we present three patients with cardiac myxoma having mitral valve disease. Left atrial myxoma was diagnosed in three women suffered from fatigue and exertional dyspnea. Mitral insufficiency was noticed in a patients preoperatively and in two other during surgery after tumor excision. They were treated mitral valve repair and replacement after excision. During follow up period, neither recurrence nor valve problem was seen on patients examined by doppler echocardiogaphy. Mitral insufficiency is a potential problem after myxoma excisions and mitral valve must be examined carefully after resection. Mitral valve repair have to be considered a reasonable alternative to replacement because insuffiency is not a primary valve lesion in these patients.

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