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September 9, 2019Journal of Medical Science And clinical ResearchOpen Access

Experience with Cardiac Myxomas (Rare Benign Tumor) at our center: A prospective study and analysis

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Why the study?

Cardiac myxomas are the most frequent cardiac tumors, and the study aimed to describe their incidence, clinical symptoms, investigation findings, and surgical management.

Population

15 patients with primary intracardiac myxoma

Comparison

Surgical excision via biatrial approach or right atriotomy

Design

Prospective single-center study

Authors

DBDhananjay BansalDR. B.R.A. Institute Rotary Cancer Hospital

Discussion

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Implication

Supports resection for cardiac myxomas with favorable early results; leaves open long-term efficacy in larger cohorts.

Key Points

  • To describe the incidence, clinical presentations, diagnostic findings, and surgical outcomes of primary intracardiac myxomas.
  • Conducted a prospective analysis of N=15 patients (aged 40–65 years; 73.3% female) undergoing surgical resection for primary intracardiac myxoma between July 2015 and July 2017.
  • Performed tumor resection via a biatrial approach or right atriotomy, with predischarge echocardiography and clinical follow-up ranging from 6 months to 2 years.
  • The primary clinical presentations were dyspnea (66.7%), chest pain (26.27%), and transient ischemic attack (6.6%), with tumors predominantly located in the left atrium (80%) and attached to the fossa ovalis (66.7%).
  • Surgical management achieved 0% operative mortality and no significant morbidity; all patients reached NYHA class I status with preserved ventricular function, normal pulmonary artery pressures, and 0% tumor recurrence on follow-up.

Structured PICO

P
Population
15 patients with primary intracardiac myxomas, age 40-65 years (mean 54), 73.3% female, treated at a single center in New Delhi, India.
I
Intervention
Surgical excision via median sternotomy and biatrial approach or right atriotomy under cardiopulmonary bypass.
O
Outcome
Incidence, clinical symptoms, investigation findings, and surgical management outcomes (mortality, morbidity, recurrence).hard clinical

Surgical resection of cardiac myxomas is safe and effective, providing excellent postoperative outcomes and symptom relief with no short-term recurrences.

Cite This Study

Dhananjay Bansal (2019) studied this question.

synapsesocial.com/papers/6a821ad52beaf6c72d877642https://doi.org/10.18535/jmscr/v7i9.28
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac Myxoma:A Clinicopathologic Study1993 · 275 citations
  2. 2Primary benign cardiac tumours: long-term results2011 · 31 citations
  3. 3Epidemiological and pathological characteristics of cardiac tumors: a clinical study of 242 cases2007 · 185 citations
  4. 4Surgical Progress1980 · 523 citations
  5. 5The mysterious pathways of cardiac myxomas: a review of histogenesis, pathogenesis and pathology2014 · 74 citations