Kyriakos St. Rammos The Annals of Thoracic Surgery

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Modified Biatrial Approach for the Surgical Excision of Left Atrial Myxomas Kyriakos St. Rammos The Annals of Thoracic Surgery Volume 64, Issue 1, Pages 274-275 (July 1997) DOI: 10.1016/S0003-4975(97)00479-7

Fig. 1 Four 4-0 Ticron sutures are passed about 5 mm away from the attachment of the tumor in a quadrant fashion and exiting from the right atriotomy. The Annals of Thoracic Surgery 1997 64, 274-275DOI: (10.1016/S0003-4975(97)00479-7)

Fig. 2 Retracting the superior rim of the right atriotomy, the surgeon makes a circular incision while holding the sutures in the left hand, carefully avoiding injury of the Koch triangle. The Annals of Thoracic Surgery 1997 64, 274-275DOI: (10.1016/S0003-4975(97)00479-7)

Fig. 3 A medium-size gauze is placed in the left atrium and around the tumor before retrieval of the tumor via the atrial septal defect, which is repaired with a Dacron patch. The Annals of Thoracic Surgery 1997 64, 274-275DOI: (10.1016/S0003-4975(97)00479-7)