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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Oncology
  • Thoracic Surgery

Background:

  • Primary cardiac tumors are rare but diverse, originating from endocardium, valves, or myocardium.
  • Cardiac myxomas represent the most common type of primary cardiac tumor.
  • Intracavitary tumors pose risks due to potential obstruction and embolic events.

Purpose of the Study:

  • To review surgical outcomes for primary cardiac tumors over 29 years.
  • To analyze postoperative morbidity and mortality associated with cardiac tumor resection.
  • To specifically evaluate the experience with cardiac myxoma excision.

Main Methods:

  • Retrospective analysis of 117 patients undergoing cardiac tumor resection between 1985 and 2014.
  • Data collected from Cardiac Surgery Departments of three tertiary hospitals.
  • Patient age ranged from 16 to 82 years.

Main Results:

  • Myxomas constituted 77.78% of the 117 cardiac tumors resected.
  • The 30-day mortality rate for cardiac tumor surgery was 3.29%.
  • Post-myxoma excision complications included atrial fibrillation (23.07%), neurological issues (3.29%), and recurrence (4.39%).

Conclusions:

  • Early surgical intervention for primary cardiac tumors is essential.
  • Open heart surgery for cardiac tumors can achieve low mortality rates.
  • Timely diagnosis and resection mitigate risks associated with cardiac tumors.