Primary cardiacmyxoma is the most common primary cardiac tumor. Tumor resection is the treatment of choice and overall longterm\nprognosis is good and recurrence is rare. This report presents a case of a young girl who presented with multiple recurrent\ncardiac myxoma. She underwent 3 sternotomy surgeries of 3 separated episodes of cardiac myxoma resection. On the fourth\nrecurrence, the patient underwent orthotopic heart transplant. The patient tolerated the procedure well and is alive 6months after\nthe procedure with NYHA class I.We reviewed evidences and summarized reported cases of orthotopic heart transplant operation\nfor primary cardiac tumor in the literature.
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