Key result
Right mini-thoracotomy significantly reduced the length of hospital stay (5.71 vs 8.93 days, p<0.001) and intensive care unit stay compared to median sternotomy for the excision of isolated left atrial myxoma.
Why the study?
Left atrial myxoma is the most common adult heart tumor requiring prompt surgical removal, but the early postoperative outcomes between right mini-thoracotomy and median sternotomy required comparison.
Does right mini-thoracotomy improve early postoperative outcomes compared to median sternotomy in patients with isolated left atrial myxoma?
Observational (n=28)
No
Does right mini-thoracotomy improve early postoperative outcomes compared to median sternotomy in patients with isolated left atrial myxoma?
Absolute Event Rate: 5.71% vs 8.93%
p-value: p=<0.001
Right mini-thoracotomy is a safe and effective minimally invasive alternative to median sternotomy for left atrial myxoma excision, offering faster recovery and shorter hospital stays.
May support minimally invasive myxoma excision to shorten recovery; hypothesis-generating and requires randomized confirmation before practice change.
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Synthee et al. (2024) conducted an observational in Isolated left atrial myxoma (n=28). Right mini-thoracotomy vs. Median sternotomy was evaluated on Length of hospital stay (days) (p=<0.001). Right mini-thoracotomy significantly reduced the length of hospital stay (5.71 vs 8.93 days, p<0.001) and intensive care unit stay compared to median sternotomy for the excision of isolated left atrial myxoma.
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