Comparison of two Approach – Right atrial Trans-septal versus Left atrial for Left atrial myxoma

Myxomas are the most common primary benign tumors of the heart and different surgical approaches are being used for Left atrial myxoma excision. Biatrial approach has been classic surgical technique for Left atrial myxoma excision . Some surgeon prefers one atrial incision. In this study two surgical approaches for left atrial myxoma was compared in 54 patient from August 2006 to may 2015,Patient were divided in to two groups according to surgical approach left atriotomy ( n=27 ) and right atrial trans-septal approach ,n= 27 ) criteria studied were pre-and post-operative functional capacity, left ventricular ejection fraction, pulmonary artery pressure, cardiac rhythm, cardiopulmonary bypass time and aortic cross clamp time,hospital stay and blood transfusion. Only Aortic cross clamp time was significantly higher in group 2, otherwise no significant difference was seen.in any other criteria between two groups.