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Published on: February 11, 2022
Cardiac Myxoma among Patients Undergoing Cardiac Surgery in a Tertiary Care Center: A Descriptive Cross-sectional
Prabhat Khakural1, Ravi Baral1, Anil Bhattarai1
1Department of Cardiothoracic and Vascular Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
Insights
Cardiac myxoma, a common primary heart tumor, was found in 0.68% of cardiac surgeries. This study highlights its prevalence and surgical outcomes, with no perioperative mortality observed.
Area of Science:
- Cardiology
- Cardiac Surgery
- Oncology
Background:
- Heart neoplasms are rare, with myxoma being the most frequent primary benign cardiac tumor.
- Myxomas can cause obstruction, arrhythmia, and embolism, necessitating surgical intervention.
- Surgical excision is the definitive treatment for cardiac myxomas.
Purpose of the Study:
- To determine the prevalence of cardiac myxoma among patients undergoing cardiac surgery.
- To analyze the clinical characteristics and surgical outcomes of cardiac myxoma patients.
Main Methods:
- A descriptive cross-sectional study was conducted retrospectively from August 2012 to August 2020.
- Data from 3800 patients undergoing cardiac surgery for tumors were analyzed.
- Statistical analysis included point estimates with 95% Confidence Intervals, frequency, percentage, mean, and standard deviation.
Main Results:
- Cardiac myxoma accounted for 0.68% (95% CI: 0.42-0.94) of 3800 cardiac surgeries.
- The mean age of patients was 54.76±14.31 years, with 76.92% being female.
- Shortness of breath was the most common symptom (73.07%); en masse excision was the primary surgical technique, with no perioperative mortality.
Conclusions:
- Cardiac myxoma is the most frequently encountered cardiac tumor, consistent with existing literature.
- Surgical management of cardiac myxoma is effective, with favorable outcomes.
- Further research can focus on long-term outcomes and specific risk factors.
Introduction:
Heart neoplasms are rare tumors. Myxoma is the commonest primary benign tumor of the heart presenting with features of obstruction, arrhythmia, and embolism. Surgical excision of the tumor is the gold standard of treatment. The aim of the study is to find out the prevalence of cardiac myxoma among all cardiac surgeries operated during the study period.
Methods:
A descriptive cross-sectional study was done among 3800 patients undergoing surgery for cardiac tumors in a tertiary care center after obtaining approval from the Institutional Review Committee (Reference number- 36/(6-11)E2/077/078). The data was collected retrospectively from August 2012 to August 2020 using convenience sampling method. Statistical analysis was performed using Microsoft Excel 2016. Point estimate at 95% Confidence Interval was calculated along with frequency, percentage, mean and standard deviation.
Results:
There were 26 (0.68%) (0.42-0.94 at 95% Confidence Interval) myxoma among 3800 cardiac surgeries performed over eight years. The mean age of the patients was 54.76±14.31 (range 17-75) years. Twenty (76.92%) patients were females. The commonest presenting symptom was shortness of breath in 19 (73.07%) patients. En masse excision with the closure of the atrial septal defect was the principal surgical technique. The mean Intensive Care Unit stay and hospital stays were 2.92±1.29 and 6.26±2.61 days respectively. There was no perioperative mortality.
Conclusions:
Cardiac myxoma was the most common cardiac tumor encountered as in other studies.
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