Outcomes of Surgical Resection of Cardiac Myxoma: A Ten-Year Experience
Background and purpose: Cardiac myxoma is the most common benign cardiac tumor. It can resemble many cardiovascular or systemic illnesses. This research presents a ten-year experience of Mazandaran heart center in clinical presentation, intra and post-operative complication, recurrence, and mortalit...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mazandaran University of Medical Sciences
2017-09-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
| Subjects: | |
| Online Access: | http://jmums.mazums.ac.ir/article-1-9825-en.html |
| Summary: | Background and purpose: Cardiac myxoma is the most common benign cardiac tumor. It can resemble many cardiovascular or systemic illnesses. This research presents a ten-year experience of Mazandaran heart center in clinical presentation, intra and post-operative complication, recurrence, and mortality of cardiac myxoma.
Materials and methods: This observational study was performed in 34 patients with a pre-operative diagnosis of myxoma over a 10-year period (2006-2016). The patients’ medical records were reviewed and some information including, clinical presentation, diagnostic tests, intra-operative and post-operative complications, recurrence, and mortality rate were recorded. Furthermore, data about tumor size, localization and attachment, and histopathological diagnosis were collected. Echocardiography was performed at the end of follow-up.
Results: Histopathological studies confirmed diagnosis of myxoma in 30 patients mainly localized in left atrium that were attached to inter-atrial septum. The most common clinical presentation was dyspnea that was reported in 20 patients (58.8%). Systemic and central nervous system embolization were seen in 5.9% and 17.6%, respectively which were not associated with the size of myxoma. Two patients died during hospitalization. Also, two patients died during follow-up period due to other illnesses. One patient experienced recurrence.
Conclusion: This study showed a low incidence of recurrence of cardiac myxoma. Therefore, long-term echocardiographic follow-up is recommended. |
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| ISSN: | 1735-9260 1735-9279 |