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Cardiac myxoma

P Vanleeuw1, Y Calozet, P Eucher

  • 1Department of Cardiovascular and Thoracic Surgery, Catholic University of Louvain (UCL), University Clinic of Mont Godinne UCL, Yvoir, Belgium.

Cardiovascular Surgery (London, England)
|December 1, 1993
PubMed
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Surgical resection is the definitive treatment for cardiac myxoma, offering favorable long-term outcomes. This study highlights key patient demographics, symptoms, and locations for cardiac myxoma.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Oncology

Background:

  • Cardiac myxomas are primary heart tumors, often presenting with diverse symptoms.
  • Diagnosis and management of cardiac myxomas require a multidisciplinary approach.

Purpose of the Study:

  • To review the clinical characteristics, surgical management, and long-term outcomes of cardiac myxoma patients.
  • To analyze the presentation, location, and histological findings of cardiac myxomas.

Main Methods:

  • Retrospective analysis of 35 patients who underwent cardiac surgery for myxoma since 1964.
  • Review of patient demographics, preoperative symptoms, tumor location, histology, and follow-up data.

Main Results:

  • The most common symptoms included dyspnea (49%), thoracic pain (26%), and peripheral embolism (17%).

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  • Left atrium was the most frequent location (66%), with 66% showing septal implantation.
  • Histology confirmed 28 myxomas, with other diagnoses including thrombi and rare tumors. Overall mortality was 20% (9% early, 11% late).

    • Conclusions:

    • Surgical resection is the recommended treatment for cardiac myxomas, yielding good long-term results.
    • Cardiac myxomas are typically sporadic, with surgical intervention offering a favorable prognosis.