Female gender in patients undergoing surgical resection for left atrial tumors was associated with higher predicted mortality scores but similar early mortality compared to men (1.6% vs 6.3%).
Observational (n=80)
Do outcomes after surgical resection of left atrial tumors differ between male and female patients?
Surgical resection of left atrial tumors is associated with excellent early and late survival, with no significant gender-related differences in outcomes despite females presenting with higher baseline surgical risk scores.
Absolute Event Rate: 1.56% vs 6.25%
Background: Cardiac tumors are rare, with a low incidence of between 0.0017 and 0.19%. The majority of cardiac tumors are benign and predominantly occur in females. The aim of our study was to examine how outcomes differ between men and women. Methods: From 2015 to 2022, 80 patients diagnosed with suspected myxoma were operated on. In all patients, preoperative, perioperative, and postoperative data were recorded. Such patients were identified and included in a retrospective analysis focused on gender-related differences. Results: Patients were predominantly female (n = 64; 80%). The mean age was 62.76 ± 13.42 years in female patients and 59.65 ± 15.84 years in male patients (p = 0.438). The body mass index (BMI) was comparable in both groups: between 27.36 ± 6.16 in male and 27.09 ± 5.75 (p = 0.945) in female patients. Logistic EuroSCORE (LogES) (female: 5.89 ± 4.6; male: 3.95 ± 3.06; p = 0.017) and EuroSCORE II (ES II) (female: 2.07 ± 2.1; male: 0.94 ± 0.45; p = 0.043), both scores to predict the mortality in cardiac surgery, were significantly higher in female patients. Two patients died early, within 30 days after surgery: one male and one female patient. Late mortality was defined as the 5-year survival rate, which was 94.8%, and 15-year survival rate, which was 85.3% in our cohort. Causes of death were not related to the primary tumor operation. The follow up showed that satisfaction with surgery and long-term outcome was high. Conclusion: Predominately female patients presented with left atrial tumors over a 17-year period. Relevant gender differences aside from that were not evident. Surgery could be performed with excellent early (within 30 days after surgery) and late results (follow up after discharge).
Sido et al. (Mon,) conducted a observational in Left atrial tumors / suspected myxoma (n=80). Female gender vs. Male gender was evaluated on Early mortality (within 30 days after surgery). Female gender in patients undergoing surgical resection for left atrial tumors was associated with higher predicted mortality scores but similar early mortality compared to men (1.6% vs 6.3%).