Operative Experience and Clinical Outcomes in Cardiac Myxoma Patients: A Retrospective Single-Center Study

Area of Science:

• Cardiology
• Cardiac Surgery
• Oncology

Background:

• Cardiac myxoma is the second most common primary cardiac tumor.
• Limited contemporary data exists on surgical strategies and outcomes for cardiac myxomas.

Purpose of the Study:

• To detail operative approaches and clinical outcomes for cardiac myxoma resection.
• To evaluate the incidence of thromboembolic events post-surgery.

Main Methods:

• Retrospective review of 74 patients undergoing cardiac myxoma resection (2014-2024).
• Analysis of clinical, imaging, surgical, and follow-up data.
• Primary outcome: incidence of thromboembolic events.

Main Results:

• 18.9% of patients experienced thromboembolic events (stroke, myocardial infarction, pulmonary embolism).
• Diabetes was linked to lower thromboembolic risk; postoperative atrial fibrillation to higher risk.
• Low recurrence rate (2.7%) and mortality (1 case).

Conclusions:

• Cardiac myxomas pose significant thromboembolic and hemodynamic risks.
• Early surgical resection yields excellent long-term results.
• Consider surgical intervention for all cardiac myxoma patients, including asymptomatic individuals.