A SERIES OF CARDIAC MYXOMA IN OUR EXPERIENCE

Dr N Kavitha, Dr C Elavarasan

Abstract


Background and objectives- Cardiac myxoma are the most common primary cardiac tumour. Mostly it is a benign tumour  and occasionally it can have malignant potential.                                         Materials and methods – A retrospective study on cardiac myxoma surgeries done in our hospital was done between August 2014 and July 2016. A total of 8 patients underwent surgery for myxoma. All were diagnosed as having cardiac myxoma  by echocardiography and all  underwent complete excision of the tumour..                                                                                                                         Results-Cardiac myxoma is a rare disease and it most commonly occurs in the 3rd to 6th decade , in the females, sporadically. Out of 8 patients operated, six were females and two were males. The mean age of the patients was 50.5years.The location of tumour was left atrium in 7 cases and right ventricle in one case. One patient expired in postoperative period. None of the 7 patients had recurrence till 6months of follow up.                                                                                   Conclusion – Simple transthoracic Echocardiography is sufficient for making the diagnosis. Complete excision of the tumour reduces the recurrence rate. There is no need for urgent intervention and elective sugery has good results.


Keywords


Cardiac myxoma, Cardiac tumour, Left atrial myxoma

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References


Sabastine MS, Collucci WS, Schoen FS. Primary tumors of the heart. In: Braunwald E, Zipes DP, Libby P, et al. The heart disease. Philadelphia, Saunders Co., 2004: 1741- 1755.

Burke A, Virmani R. More on cardiac myxomas. N Engl J Med. 1996;335(19):1462-63. DOI:10.1056/NEJM199611073351912; PMID:8927083

Newman HA, Cordell AR, Prichard RW. Intracardiac myxomas. Literature review and report of six cases, one successfully treated. Am Surg. 1966;32(4):219-30. PMID:5326200.

Suvarna SK, Royds JA. The nature of the cardiac myxoma. Int J Cardiol. 1996;57(3):211-6. DOI:10.1016/S0167-5273(96)02827-6.

Durgut K, Gormus N, Ozulku M, Ozergin U, Ozpinar C. Clinical features and surgical treatment of cardiac myxoma: report of 18 cases. Asian Cardiovasc Thorac Ann 2002;10(2):111-114.[Medline]

Angleu G, Carrion D, Gimenez L, Camacho G, Ortega T. Diagnosis by echocardiography of a case of myxoma in left ventricle. An Esp Pediatr. 1996;45(4):415-6.

Bahnson HT, Newman EV. Diagnosis and surgical removal of intracavitary myxoma of the right atrium. Bull Johns Hopkins Hosp. 1953;93(3):150-63. PMID:13094264.

Gawdzinski MP, Sypula S. The long term results of treatment of heart myxomas with special attention to very rare myxoma of the right ventricle. J Thorac Cardiovasc Surg. 1996;37(6 Suppl 1):121-9.

Jelic J, Milicic D, Alfirevic I, Anic D, Baudoin Z, Bulat C, et al. Cardiac myxoma: diagnostic approach, surgical treatment and follow-up. A twenty years experience. J Thorac Cardiovasc Surg. 1996;37(6 Suppl 1):113-7.

Bjessmo S, Ivert T. Cardiac myxoma: 40 years' experience in 63 patients. Ann Thorac Surg 1997;63(3):697-700. [Medline] [CrossRef]

Dein JR, Frist WH, Stinson EB, Miller DC, Baldwin JC, Oyer PE, et al. Primary cardiac neoplasms. Early and late results of surgical treatment in 42 patients. J Thorac Cardiovasc Surg. 1987;93(4):502-11. PMID:3560997.

Reynen K. Cardiac myxomas. N Engl J Med 1995;333(24):1610-1617. [Medline] [CrossRef]

Senning A. Developments in cardiac surgery in Stockholm during the mid and late 1950s. J Thorac Cardiovasc Surg. 1989;98(5 Pt 2):825-32. PMID:2682018.


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