[Diagnosis and treatment of 52 cases of cardiac myxoma]
1Second Affiliated Hospital, Harbin Medical University, Heilong-jiang.
Insights
Surgical removal of cardiac myxoma under cardiopulmonary bypass (CPB) is effective. This study details 43 cases, highlighting tumor locations, attachment sites, and diagnostic methods like 2D-echocardiography.
Area of Science:
- Cardiology
- Cardiac Surgery
- Oncology
Background:
- Cardiac myxomas are primary heart tumors, often benign, but can cause significant complications.
- Surgical intervention is the standard treatment for symptomatic cardiac myxomas.
Purpose of the Study:
- To analyze the surgical outcomes of cardiac myxoma removal.
- To describe the characteristics and locations of cardiac myxomas.
Main Methods:
- Retrospective analysis of 43 patients undergoing surgical tumor removal under cardiopulmonary bypass (CPB).
- Diagnosis confirmed using 2D-echocardiography.
- Documentation of tumor location, attachment sites, and operative procedures.
Main Results:
- 38 left atrial, 5 right atrial, and 1 right ventricular myxomas were surgically removed.
- Most left atrial myxomas (34) attached to the interatrial septum.
- One postoperative death occurred; one patient required mitral valve replacement.
Conclusions:
- Surgical removal of cardiac myxomas under CPB is a viable treatment option.
- 2D-echocardiography is crucial for accurate diagnosis.
- Careful surgical planning is essential due to varying tumor locations and attachments.
Abstract:
43 patients with cardiac myxoma had undergone surgical removal of the tumors under CPB 38 tumors were located in the left atrium, 5 in right atrium, and 1 in right ventricle respectively. The sites of attachment of the tumor stalk observed during operation were as follows: 34 left atrial myxomas were attached to the interatrial septum and 4 left atrial myxomas to the atrial wall. 5 right atrial myxomas were attached to the interatrial septum and 1 right ventricular myxoma to the ventricular wall. 1 patient with a right ventricular myxoma which had been removed one year ago appeared new one in the left atrium and the tumor was cut too. The diagnosis of cardiac myxoma was confirmed by 2D-echo-cardiography in all of our cases. Mitral valve replacement was done in 1 patient in this series. There was one death postoperatively. Besides these 43 cases, there were 9 patients who had not been operated upon, because of refusal of operation in 5, sudden death from cardiac arrest before operation in 2, coma from cerebral thrombosis in 1, and serious pulmonary tuberculosis in another one respectively.
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