Primary Cardiac Myxomas: Clinical Experience and Surgical Results in 67 Patients


Tasoglu I., TUTUN U., LAFCI G., HIJAAZI A., Yener U. , ULUS A. Y. T. , ...Daha Fazla

JOURNAL OF CARDIAC SURGERY, cilt.24, ss.256-259, 2009 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 24 Konu: 3
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1111/j.1540-8191.2008.00797.x
  • Dergi Adı: JOURNAL OF CARDIAC SURGERY
  • Sayfa Sayıları: ss.256-259

Özet

Background: Primary cardiac tumors are rarely seen and have an incidence of 0.3% of all open-cardiac operations. Among those, myxoma is the most common cardiac tumor. There are only a few reports of such tumors from Turkey. Methods and Results: We report our experience with 67 patients with primary cardiac myxoma operated on at our institute between December 1990 and October 2006. The study group comprised 22.38% males and 77.61% females with a mean age of 46.29 (+/- 18.29) years. The predominant symptoms were dyspnea and palpitation. In addition, 3 patients presented with peripheral embolism with impending limb ischemia that necessitated emergency embolectomy. Echocardiography was generally enough for the demonstration of the myxomas. Two sporadic myxomas (%2.98) and one familial myxomas (1.49%) presented with recurrence. There were three (4.47%) hospital mortalities. Two patients (2.27%), with preoperative decompensation, died after tumor resection, from progressive low cardiac output. One patient, with preoperative massive pulmonary embolus, died two days after operation, from right ventricle insufficient. Conclusion: In conclusion, we herein summarized surgical results with primary cardiac myxomas. Surgical excision of primary cardiac myxomas tends to show excellent results after surgical excision.