A very rare case of multifocal non-familial cardiac myxoma involving Left Atrium and Mitral valve necessitating mitral valve replacement along with excision of myxoma

Results The myxoma was approached via inter atrial septal and excised. Initial examination of Mitral valve apparatus revealed good leaflet coaptation no annular widening and therefore no interventions were performed. Weaning of bypass was difficult and trans-esophageal echocardiography revealed more than moderate Mitral regurgitation with central jet. The Mitral valve was approached through the Waterston’s groove and replaced with a St Jude mechanical prosthesis. Patient was weaned off bypass with stiff ionotropes and recovered uneventfully. Histopathology of excised valve revealed foci of myxoma with superimposed degenerative changes.