[Diagnosis and treatment of 52 cases of cardiac myxoma]

Z D Chen1

  • 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.

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