Cardiac myxomas: an analysis of 39 patients

Year 2017, Volume: 3 Issue: 3, 227 - 233, 04.11.2017

Faruk Toktaş Şenol Yavuz Kadir Kaan Özsin Umut Serhat Sanrı Tamer Türk Mehmet Tuğrul Göncü

https://doi.org/10.18621/eurj.345667

Cited By: 3

Abstract

Objectives. Myxomas
are the most common benign primary heart tumors. They have serious
complications including intracardiac blood flow obstruction and embolic events.
The aim of the study was to assess our experiences related to patients
undergoing surgical resection for cardiac myxomas. Methods. The medical
records of 39 patients, aged 16 to 76 years (mean, 47.5 years), who were
operated on for primary cardiac myxomas between January 1994 and December 2016
at our clinic were retrospectively evaluated. Demographic, clinical, operative and postoperative data were obtained
from these hospital medical records. Cardiac myxomas were
diagnosed by transthoracic echocardiography. Preoperative coronary angiography
was performed in patients over 40 years of age and those with symptoms of
coronary disease. In routine follow-up after discharge the patients were
checked by echocardiography. Long-term cumulative survival was analyzed using
the Kaplan-Meier method. Results. There was no in-hospital mortality. The
majority (61.5%) of patients were female. The most common encountered
localization of myxoma was the left atrium (76.9%), and the classic posterior
approach from interatrial groove was preferred in 32 (82.1%) patients. Mean
follow-up was 6.05 ± 3.75 years (range, 1-10 years). Five (12.8%) patients were
lost on long-term follow-up. Kaplan-Meier curves, cumulative proportion
surviving of patients at 1-, 2-, 5-, and 10-year were 97.4%, 91.7%, 84.7%, and
84.7%, respectively. No hospital mortality was observed in any of the patients.
There was no recurrence in our series. Conclusions.
Myxoma is the disease that can lead to complications such as embolic events
and intracardiac blood flow obstruction. It can be excised with a low rate of
morbidity and mortality. Surgical
resection should be performed promptly after diagnosis in order to prevent
potential complications. 

Keywords

Cardiac tumors, myxomas, cardiac surgery, echocardiography

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