Figure 1

Echocardiography. (A) Transthoracic echocardiogram showing apical four-chamber view and clear left atrium performed a year prior to clinic attendance. (B) Transthoracic echocardiogram showing apical four-chamber view and incidental finding of left atrial myxoma at roof and interatrial septum. (C) Two-dimensional trans-esophageal echocardiogram (TEE) in mid-esophageal four-chamber view, modified and zoomed in on the interatrial septum demonstrating left atrial myxoma attached to the roof of the left atrium and the interatrial septum just above the left ventricular outflow tract and aortic valve. (D) Three-dimensional image of the left atrial myxoma taken from the same TEE mid-esophageal view as in (C). This figure clearly shows the broad peduncle of the myxoma and its attachment to the superior interatrial septum and roof of the left atrium. The three-dimensional TEE assisted the surgeons, by confirming the location of the left atrial myxoma and aiding the planned surgical route.