Impact of Interatrial Septal Reconstruction on Atrial Tachyarrhythmia after Surgical Resection of Myxoma
Background: Complete surgical excision is the only curative treatment for primary cardiac tumors. For wide excision, interatrial septal reconstruction (ISR) is commonly performed. We hypothesized that ISR may increase the risk of postoperative atrial tachyarrhythmia (AT) after surgical resection...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society for Thoracic & Cardiovascular Surgery
2023-05-01
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| Series: | Journal of Chest Surgery |
| Subjects: |
| _version_ | 1797833563655110656 |
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| author | Mi Young Jang Jun Ho Lee Muhyung Heo Suk Kyung Lim Su Ryeun Chung Kiick Sung Wook Sung Kim Yang Hyun Cho |
| author_facet | Mi Young Jang Jun Ho Lee Muhyung Heo Suk Kyung Lim Su Ryeun Chung Kiick Sung Wook Sung Kim Yang Hyun Cho |
| author_sort | Mi Young Jang |
| collection | DOAJ |
| description | Background: Complete surgical excision is the only curative treatment for primary cardiac
tumors. For wide excision, interatrial septal reconstruction (ISR) is commonly performed.
We hypothesized that ISR may increase the risk of postoperative atrial tachyarrhythmia (AT)
after surgical resection of cardiac myxoma.
Methods: After excluding patients with a history of cardiac surgery and concomitant
procedures unrelated to tumor resection and those with AT or permanent pacemakers,
we finally enrolled 272 adult patients who underwent benign cardiac tumor surgery from
1995 to 2021 at our institution. They were divided into the ISR (n=184) and non-ISR (n=88)
groups. The primary outcome was postoperative new-onset AT.
Results: The study cohort predominantly consisted of women (66.2%), with a mean
age of 57.2±13.6 years. The incidence of postoperative new-onset AT was 15.4%. No 30-
day mortality or recurrence was observed. The cardiopulmonary bypass time and aortic
cross-clamping time were significantly longer in the ISR group than in the non-ISR group
(p<0.001). The median duration of hospital stay of all patients was 6.0 days (interquartile
range, 5.0–7.0 days), and no significant difference was observed between the 2 groups
(p=0.329). ISR was not an independent predictor of new-onset AT (p=0.248). Male sex and
hypertension were found to be independent predictors of new-onset AT.
Conclusion: ISR was not a significant predictor of postoperative new-onset AT. ISR might
be a feasible and safe procedure for surgical resection of cardiac myxoma and should be
considered if needed. |
| first_indexed | 2024-04-09T14:24:44Z |
| format | Article |
| id | doaj.art-282bb689563b4b2d9147e871d348466b |
| institution | Directory Open Access Journal |
| issn | 2765-1606 2765-1614 |
| language | English |
| last_indexed | 2024-04-09T14:24:44Z |
| publishDate | 2023-05-01 |
| publisher | Korean Society for Thoracic & Cardiovascular Surgery |
| record_format | Article |
| series | Journal of Chest Surgery |
| spelling | doaj.art-282bb689563b4b2d9147e871d348466b2023-05-04T05:17:35ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142023-05-0156318619310.5090/jcs.22.112Impact of Interatrial Septal Reconstruction on Atrial Tachyarrhythmia after Surgical Resection of MyxomaMi Young Jang0https://orcid.org/0000-0001-7242-3174Jun Ho Lee1https://orcid.org/0000-0001-8237-2542Muhyung Heo2https://orcid.org/0000-0002-0687-9074Suk Kyung Lim3https://orcid.org/0000-0002-2049-3709Su Ryeun Chung4https://orcid.org/0000-0002-9619-0640Kiick Sung5https://orcid.org/0000-0003-0768-9587Wook Sung Kim6https://orcid.org/0000-0001-7808-3385Yang Hyun Cho7https://orcid.org/0000-0003-1685-3641Sungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineBackground: Complete surgical excision is the only curative treatment for primary cardiac tumors. For wide excision, interatrial septal reconstruction (ISR) is commonly performed. We hypothesized that ISR may increase the risk of postoperative atrial tachyarrhythmia (AT) after surgical resection of cardiac myxoma. Methods: After excluding patients with a history of cardiac surgery and concomitant procedures unrelated to tumor resection and those with AT or permanent pacemakers, we finally enrolled 272 adult patients who underwent benign cardiac tumor surgery from 1995 to 2021 at our institution. They were divided into the ISR (n=184) and non-ISR (n=88) groups. The primary outcome was postoperative new-onset AT. Results: The study cohort predominantly consisted of women (66.2%), with a mean age of 57.2±13.6 years. The incidence of postoperative new-onset AT was 15.4%. No 30- day mortality or recurrence was observed. The cardiopulmonary bypass time and aortic cross-clamping time were significantly longer in the ISR group than in the non-ISR group (p<0.001). The median duration of hospital stay of all patients was 6.0 days (interquartile range, 5.0–7.0 days), and no significant difference was observed between the 2 groups (p=0.329). ISR was not an independent predictor of new-onset AT (p=0.248). Male sex and hypertension were found to be independent predictors of new-onset AT. Conclusion: ISR was not a significant predictor of postoperative new-onset AT. ISR might be a feasible and safe procedure for surgical resection of cardiac myxoma and should be considered if needed.benign cardiac tumorinteratrial septal reconstructionatrial tachyarrhythmia |
| spellingShingle | Mi Young Jang Jun Ho Lee Muhyung Heo Suk Kyung Lim Su Ryeun Chung Kiick Sung Wook Sung Kim Yang Hyun Cho Impact of Interatrial Septal Reconstruction on Atrial Tachyarrhythmia after Surgical Resection of Myxoma Journal of Chest Surgery benign cardiac tumor interatrial septal reconstruction atrial tachyarrhythmia |
| title | Impact of Interatrial Septal Reconstruction on Atrial Tachyarrhythmia after Surgical Resection of Myxoma |
| title_full | Impact of Interatrial Septal Reconstruction on Atrial Tachyarrhythmia after Surgical Resection of Myxoma |
| title_fullStr | Impact of Interatrial Septal Reconstruction on Atrial Tachyarrhythmia after Surgical Resection of Myxoma |
| title_full_unstemmed | Impact of Interatrial Septal Reconstruction on Atrial Tachyarrhythmia after Surgical Resection of Myxoma |
| title_short | Impact of Interatrial Septal Reconstruction on Atrial Tachyarrhythmia after Surgical Resection of Myxoma |
| title_sort | impact of interatrial septal reconstruction on atrial tachyarrhythmia after surgical resection of myxoma |
| topic | benign cardiac tumor interatrial septal reconstruction atrial tachyarrhythmia |
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