A concurrent case of right atrial myxoma and adenocarcinoma of lung.

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A 68-year-old male visited a hospital because of an abnormal shadow on his routine chest roentgenogram. He had had exertional dyspnea and coughs during the past year. Diagnostic imaging demonstrated a tumor, 20 × 28mm in size, in the right lower lobe. Transbronchial lung biopsy was performed, and a diagnosis of adenocacinoma of the lung was made. He was admitted to our hospital for an operation. Transesophageal echocardiogram performed because of symptoms of cardiac failure revealed a large mass in the right atrium, suggestive of a cardiac myxoma. First, resection of the right atrial myxoma was performed on cardiopulmonary bypass. Six weeks later he underwant a posterolateral thoracotomy for resection of a lung cancer. A partial resection of the lung was performed without lymphnode dissection, because pleural dissemination was noted. Hemodynamics were stable perioperatively. He was discharged from the hospital 5 weeks after the second surgery, and he is now well, being followed as an outpatient for 6 months at our hospital.
特定非営利活動法人日本呼吸器外科学会の論文