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- Several hours.
- A little, but an experienced surgeon should have no trouble getting back in, or even suggest a different approach, depending on the exact location - even with your information I would have to see the TransEsophageal Echo (TEE) for that kind of decision.
(The images show a transesophageal echocardiography probe in the esophagus, which is located behind the heart. Sound waves from the probe create high-quality pictures of the heart. B shows an echocardiogram of the heart's lower and upper chambers (ventricles and atrium, respectively).
- With a TransThoracic Echo (TTE) there "blind spots", one of the reasons to recommend a TEE. The increased RA pressure (dilated/congested proximal vena cava inferior and hepatic veins) are indications however, that something was out of order, hence the TEE. I don't know why this wasn't recommended earlier.
- I don't know. I am a cardiac surgeon!
- A myxoma is usually found on the left side of the heart and may involve other structures such a heart valve. As in your case, most often a myxoma causes a local obstruction, or problems with a valve function (either obstruction or leakage). Myxomas can have a broad base or just a narrow stalk and need to be completely resected for a cure.
In summary, depending on where the myxoma is located it may cause the following symptoms:
- Symptoms of left-sided heart failure:
- Shortness of breath on exertion (75%) that may worsen with a change of position, and even pulmonary edema is observed.
- Symptoms are caused by obstruction at the mitral valve orifice. Valve damage may result in mitral regurgitation.
- Severe dizziness/syncope.
- The most frequent cause in patients with left atrial myxomas is obstruction of the mitral valve.
- Symptoms may change as the patient changes position.
- Symptoms of right-sided heart failure:
- Fatigue and peripheral edema.
- Symptoms related to embolization:
- Embolization to the brain may result in a stroke or seizure. A stroke often occurs in multiple sites.
- Involvement of the arteries to your eyes may result in vision loss.
- Systemic embolization that causes occlusion of any artery, including coronary, aortic, renal, visceral, or peripheral, may result in infarction or ischemia of the corresponding organ.
- On the right side, embolization results in pulmonary embolism.
- Multiple, recurrent small lung emboli may result in pulmonary hypertension.
- Presence of an atrial septal defect may result in embolization from the right side of the heart to the “left-sided circulation” and cause a stroke.
- Constitutional symptoms that include fever, weight loss, arthralgias, and other inflammatory symptoms. I assume successful resection would alleviate these symptoms as well.
Hope this helps,
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