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Right atrial and septal reconstruction after tumor excision: the single-patch technique

First Division of Cardiac Surgery and Transplantation Services, Onassis Cardiac Surgery Center, Athens, Greece

*Corresponding author. First Department of Cardiac Surgery and Transplantation Services, Onassis Cardiac Surgery Center, 356 Sygrou Avenue, 17674 Kallithea, Athens, Greece. Tel.: +30 6999809000.

E-mail address: colettistheo{at}yahoo.gr (T.N. Kolettis).

Surgical excision is the only therapy for benign atrial tumors, if serious complications are to be avoided. We propose a simplified technique whereupon a single autologous pericardial patch is used to not only close the septal defect, but to also reconstruct the right atrium. This new technique allows for wide excision of tumors without reduction of the right atrium, distortion of the tricuspid valve or traction on the atrioventricular node. We propose that this new approach will probably reduce the incidence of postoperative arrhythmias.

Key Words: Myxoma; Cardiac tumors; Surgery/complications; Pericardium; Arrhythmia