June 1, 1984The Thoracic and Cardiovascular Surgeon
Cardiac Myxomas: Results of 14 Years' Experience
Why the study?
Does surgical excision of intracardiac myxomas provide curative results with low operative risk?
Population
38 patients with an intracardiac myxoma, 15 males and 23 females, mean age 47.7 years (range 17-68).
Design
Case_series
Follow-up
average 5.2 years (range 3 months to 14.5 years)
Authors
Discussion
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Implication
Low operative mortality with no observed recurrence supports excision as potentially curative for myxomas; Level 5 data leaves open modern applicability and generalizability.
Key Points
- This analysis aims to evaluate the outcomes of surgical excision for patients with intracardiac myxomas over 14 years.
- Retrospective analysis of 38 patients who underwent surgical excision from 1968 to 1983.
- Utilization of angiographic and echocardiographic studies for preoperative diagnosis.
- Emergency surgery conducted in the majority of cases, with follow-up assessments over time.
- 84.2% of myxomas located in the left atrium, with no recurrence observed in long-term follow-up.
- Two patients (5.2%) died post-surgery due to complications, emphasizing operative risks.
- Follow-up duration for survivors averaged 5.2 years, with effective outcomes noted.
Structured PICO
Does surgical excision of intracardiac myxomas provide curative results with low operative risk?
P
Population
38 patients with an intracardiac myxoma, 15 males and 23 females, mean age 47.7 years (range 17-68).
I
Intervention
Surgical excision of the tumor
O
Outcome
Operative mortality and tumor recurrencehard clinical
Surgical excision of intracardiac myxomas carries a low operative risk and appears curative with no long-term recurrences.
Cite This Study
Livi et al. (1984) studied this question.