Figure 2

Intraoperative view. Note that the tumor extends into an through the wall of the superior vena cava and the left atrial dome (A). Complete tumor removal by en bloc resection, including the right atrial anterior and lateral wall, left atrial dome, and a large segment of the superior vena cava (B). Repair of the left atrial dome (C). Reconstruction of the right atrium and superior vena cava with bovine pericardium (D).