[Cardial myxoma: analysis of cardiopulmonary bypass perfusion in 95 cases]

From 1980 to 1993, 95 patients with cardial myxoma (male 32 and female 63) were treated surgically. The myxoma located on left-atrium in 88 patients, right-atrium in 5, left-ventricle in 1, and pulmonary in 1. All the operations were carried out under cardiopulmonary bypass. After operations, 12 patients had dyspnea and 8 died of pulmonary infection and heart or respiratory failure. The hemoglobin level was 118.02 +/- 16.7 g/L, 72.33 +/- 8.82 g/L, and 105.75 +/- 5.91 g/L respectively for pre-dilution, post-dilution, and post-operation. The patients with cardial myxoma often complicated with anemia (56), hepatic enlargement (36), and history of heart failure (64), and embolism (12). Combined with clinical characteristics mentioned above, the preparation of prime solution and the management of perfusion were discussed.