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September 13, 2018The Heart Surgery ForumOpen Access

Surgical Treatment of Cardiac Myxomas: A 23-Case Experience

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Key result

Open cardiac surgery for resection of cardiac myxomas in 23 patients resulted in no early or late mortality.

Population

23 patients with cardiac myxomas electively operated on between January 2010 and August 2017, mean age 42.1…

Design

Case_series

Authors

AGAli GürMAMehmet Coşkun Aykaç

Discussion

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Overview

May support safety of myxoma resection in selected cases; leaves open need for larger prospective validation.

Key Points

  • To evaluate the clinical presentation, operative management, and early and late outcomes of patients undergoing open surgical resection of cardiac myxomas.
  • Retrospective review of 23 patients (N=23; mean age 42.1 ± 8.9 years; 18 females, 5 males) who underwent elective open cardiac surgery between January 2010 and August 2017.
  • Preoperative tumor detection was performed using echocardiography in all patients, and all surgeries utilized cardiopulmonary bypass with aortic cross-clamping and bicaval cannulation.
  • Tumor localization occurred in the left atrium in 82.6% (n=19) and the right atrium in 17.4% (n=4) of cases, with tumor dimensions ranging from 2.5 × 1.5 cm to 8.5 × 6.5 cm.
  • All myxomas were resected with root solid tissue, followed by defect reconstruction via primary closure in 51.2% (n=12) or pericardial patch repair in 47.8% (n=11).
  • Both early and late postoperative mortality rates were 0% across all 23 resections.

Study Design

Type

Observational (n=23)

Multicenter

No

Structured PICO

P
Population
23 patients (72.3% female, mean age 42.1 years) electively operated on for cardiac tumors between 2010 and 2017.
E
Exposure
Surgical resection via open cardiac surgery (cardiopulmonary bypass with aortic cross-clamp and bicaval cannulation)
O
Outcome
Early and late mortalityhard clinical

Surgical resection of cardiac myxomas can be performed safely with excellent outcomes and no early or late mortality.

Cite This Study

Gür et al. (2018) conducted an observational in Cardiac myxomas (n=23). Open cardiac surgery for tumor resection was evaluated on Early and late mortality. Open cardiac surgery for resection of cardiac myxomas in 23 patients resulted in no early or late mortality.

synapsesocial.com/papers/6a9cbef4ccf76bb89d97a3d5https://doi.org/10.1532/hsf.1987
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Also Consider

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

  1. 1Clinical and Histopathological Analysis of 66 Cases with Cardiac Myxoma2013 · 42 citations
  2. 2Risk Factors for Embolism in Cardiac Myxoma: A Retrospective Analysis2015 · 86 citations
  3. 3Clinical Presentation of Left Atrial Myxoma in Relation to Anatomic and Pathologic Type2015 · 5 citations
  4. 4Neuroimaging Findings in Cardiac Myxoma Patients: A Single-Center Case Series of 47 Patients2015 · 39 citations
  5. 5A giant atrial myxoma with fairly atypical features2015 · 4 citations