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Surgical experience with cardiac myxomas.

Muhammad Aamir Khan1, Asif Ali Khan, Muhammad Waseem

  • 1Department of Cardiac Surgery, Armed Forces Institute of Cardiology and National Institute of Heart Diseases, Rawalpindi, Pakistan. makcousin@yahoo.com

Journal of Ayub Medical College, Abbottabad : JAMC
|April 24, 2009
PubMed
Summary

Cardiac myxomas, the most common benign heart tumors, require prompt surgical excision. This study found low mortality and morbidity rates following myxoma removal, emphasizing echocardiography for diagnosis and follow-up.

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Oncology

Background:

  • Cardiac myxomas are the most frequent benign intracardiac tumors.
  • This study investigated the clinical presentation, surgical outcomes, and recurrence rates of cardiac myxomas.
  • Data was collected over a six-year period at a single institution.

Purpose of the Study:

  • To analyze the clinical presentation of cardiac myxomas.
  • To determine the morbidity, mortality, and recurrence rates after surgical excision.
  • To highlight the importance of early diagnosis and treatment.

Main Methods:

  • A historical longitudinal study of 34 patients undergoing cardiac myxoma excision between 2002 and 2008.
  • Pre-operative diagnosis was confirmed using echocardiography.
  • Complete tumor excision, chamber inspection, and saline irrigation were performed, with follow-up for recurrence.

Main Results:

  • Cardiac myxomas represented 0.40% of all cardiac operations, predominantly affecting individuals in their fourth decade.
  • The left atrium was the most common site (79%), followed by the right atrium (14%).
  • Symptoms varied by location, including mitral stenosis-like features, right heart failure, embolic, and constitutional symptoms, with two early deaths and one recurrence.

Conclusions:

  • Cardiac myxomas are rare but necessitate a high index of suspicion for diagnosis.
  • Echocardiography is the preferred diagnostic and follow-up tool.
  • Immediate surgical intervention is crucial, offering a low risk of mortality and morbidity.