lignancies, angiosarcoma is most frequent, usually as a bulky mural mass in the right atrium with frequent metasteses. Rhabdomyosarcoma is the next most common, and does not have a propensity for one cardiac chamber over another. Rarer malignancies include mesothilioma, plasmocytoma, and osteo- , lipo- , fibro- , and leiomyosarcoma.

Suggested Reading

1. Chitwood WR Jr. Cardiac neoplasms: Current diagnosis, pathology and therapy. J Cardiac Surg 1988; 3:119.

2. Dein JR, Frist WN, Stinson EB et al. Primary cardiac neplasms. J Thorac Cardiovasc Surg 1987; 93:502.

3. Semb BKH. Surgical considerations in the treatment of cardiac myxoma. J Thorac Cardiovasc Surg 1984; 87:251.

4. Pechacek LW, Gonzalez-Camid F, Hall RJ et al. The echocardiographic spectrum of atrial myxoma: A ten-year experience. Tex Heart Inst J 1986; 13:179.

5. Morrow AG. Hypertrophic subaortic stenosis. Operative methods utilized to relieve left ventricular outflow obstruction. J Thorac Cardiovasc Surg 1978; 76:423-430.

6. Maron BJ, Barrow RO, Cannon RO et al. Hypertrophic cardiomyopathy. Interrelation of clinical manifestations, pathophysiology, and therapy. N Engl J Med 1987; 316:844-852.

7. Mcintosh CL, Greenberg GH, Maron BJ et al. Clinical and hemodynamic results after Mitral valve replacement in patients with obstructive hypertrophic cardi-omyopathy. Ann Thorac Surg 1989; 47:236-246.

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