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March 1, 1988Journal of Cardiac Surgery

Considerations in the Surgical Management of Left Atrial Myxoma

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Why the study?

Does careful surgical management with minimal manipulation prevent morbidity, mortality, and recurrence in patients with left atrial myxoma?

Population

17 patients with left atrial myxoma treated at Brigham and Women's Hospital.

Design

Case_series

Follow-up

average 57 months

Authors

VDVerdi J. DiSesaJCJohn J. CollinsLCLawrence H. Cohn

Discussion

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Overview

Supports careful excision in left atrial myxoma; leaves open need for prospective series before wider adoption.

Structured PICO

Does careful surgical management with minimal manipulation prevent morbidity, mortality, and recurrence in patients with left atrial myxoma?

P
Population
17 patients with left atrial myxoma treated at Brigham and Women's Hospital.
I
Intervention
Surgical management emphasizing minimal manipulation of the heart before institution of cardiopulmonary bypass and aortic cross-clamping, careful examination of intracardiac chambers, and meticulous removal of myxomatous debris.
O
Outcome
Operative mortality and perioperative morbidityhard clinical

Careful surgical excision of left atrial myxomas with minimal manipulation prior to bypass yields excellent long-term outcomes with zero operative mortality and no recurrence.

Cite This Study

DiSesa et al. (1988) studied this question.

synapsesocial.com/papers/6a7120796c240de38cdc0af4https://doi.org/10.1111/j.1540-8191.1988.tb00213.x
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The clinical syndrome of atrial myxoma1974 · 128 citations
  2. 2Left Atrial Myxoma and Coronary Artery Disease1981 · 17 citations
  3. 3Atrial Tumors—Surgical Experience of 9 Cases1983 · 7 citations