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.
Abstract

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