Multidisciplinary Single Stage Surgical Management of Advanced Breast Carcinoma With Concomitant Left Atrial Myxoma
Abstract
Primary cardiac tumours are rare, with atrial myxomas accounting for approximately 50% of benign cardiac tumours. In patients with malignancy, intracardiac masses pose a diagnostic challenge because distinguishing primary tumours from metastases directly influences management. A 58-year-old woman with locally advanced invasive mucinous breast carcinoma developed a progressive fungating breast mass despite neoadjuvant chemotherapy and radiotherapy. Routine echocardiography incidentally revealed a large left atrial mass attached to the interatrial septum. Cardiac MRI and FDG PET-CT suggested a cardiac neoplasm but could not exclude metastasis. Given the embolic risk and urgent need for oncologic surgery, a multidisciplinary team performed single-stage toilet mastectomy, atrial mass excision with interatrial septal reconstruction and split-thickness skin grafting under one anaesthetic. Histopathology confirmed glandular atrial myxoma. Single-stage multidisciplinary surgery may safely reduce treatment delay, embolic risk, repeated anaesthesia, and hospitalization in carefully selected patients.
Related
- Surgical Management of Unstable Distal Ulnar Fractures With Concomitant Distal Radius Fractures: A Systematic Review
- A multidisciplinary approach to infective endocarditis: diagnosis, medical and surgical management
- Ludwig’s Angina Complicated by a Massive Bilateral Deep Neck Abscess in a 26-Month-Old Boy: Multidisciplinary Airway and Surgical Management
- Surgical, endovascular, and systemic management of renal cell carcinoma with intravascular recurrence
- Multidisciplinary management of metastatic renal cell carcinoma: a narrative review.
BibTeX
@article{haval2026multidisciplinary,
title = {{Multidisciplinary Single Stage Surgical Management of Advanced Breast Carcinoma With Concomitant Left Atrial Myxoma}},
author = {Shriya Haval and Anurag Garg and Ranjit Pawar and Manoj Dongare},
journal = {Interdisciplinary Cardiovascular and Thoracic Surgery},
year = {2026},
month = sep,
doi = {10.1093/icvts/ivag252},
url = {https://doi.org/10.1093/icvts/ivag252},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Multidisciplinary Single Stage Surgical Management of Advanced Breast Carcinoma With Concomitant Left Atrial Myxoma
AU - Shriya Haval
AU - Anurag Garg
AU - Ranjit Pawar
AU - Manoj Dongare
PY - 2026
DA - 2026/09/21
JO - Interdisciplinary Cardiovascular and Thoracic Surgery
DO - 10.1093/icvts/ivag252
UR - https://doi.org/10.1093/icvts/ivag252
AB - Primary cardiac tumours are rare, with atrial myxomas accounting for approximately 50% of benign cardiac tumours. In patients with malignancy, intracardiac masses pose a diagnostic challenge because distinguishing primary tumours from metastases directly influences management. A 58-year-old woman with locally advanced invasive mucinous breast carcinoma developed a progressive fungating breast mass despite neoadjuvant chemotherapy and radiotherapy. Routine echocardiography incidentally revealed a large left atrial mass attached to the interatrial septum. Cardiac MRI and FDG PET-CT suggested a cardiac neoplasm but could not exclude metastasis. Given the embolic risk and urgent need for oncologic surgery, a multidisciplinary team performed single-stage toilet mastectomy, atrial mass excision with interatrial septal reconstruction and split-thickness skin grafting under one anaesthetic. Histopathology confirmed glandular atrial myxoma. Single-stage multidisciplinary surgery may safely reduce treatment delay, embolic risk, repeated anaesthesia, and hospitalization in carefully selected patients.
SN - 2753-670X
ER -