• Kirsten Tolstrup, Takahiro Shiota, Swaminatha Gurudevan, Daniel Luthringer, Huai Luo, and Robert J Siegel.
• Cedars-Sinai Medical Center Heart Institute, 8700 Beverly Blvd., Los Angeles, CA 90048, USA. tolstrupk@cshs.org
• J Am Soc Echocardiogr. 2011 Jun 1; 24 (6): 618-24.

BackgroundAlthough transthoracic echocardiography and two-dimensional transesophageal echocardiography (TEE) identify cardiac myxomas with high sensitivity, anatomic and morphologic information is often incomplete. Real-time three-dimensional (3D) TEE is increasingly being used in general clinical practice. However, the use of real-time 3D TEE for the assessment of atrial myxomas has not been described.MethodsThis case series of 10 patients with left atrial myxomas undergoing two-dimensional and real-time 3D TEE.ResultsCorrelative pathologic findings demonstrate that 3D imaging accurately identifies these tumors and provides detailed morphologic description of the tumors, which may have clinical importance.ConclusionsBecause the 3D TEE is real time and can be performed preoperatively in the operating room, the surgeon may gain a better understanding of the nature and location of the tumor.Copyright © 2011 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.

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