TITLE:
Cardiac Myxoma: 10 Years Study of Presentations, Resection and Outcome
AUTHORS:
Vinod Bhan, Sri Satyavathi, Kanchumarti Sudhakar Rao, Velam Vanajakshamma
KEYWORDS:
Cardiac Myxoma, Dyspnea, Trans-Septal Approach
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.11 No.10,
October
29,
2021
ABSTRACT: Background: Cardiac myxoma is a very rare heart tumor which
presents as life threatening mass in cardiac chamber. The tumor may present
with vague symptoms which can lead to delay in diagnosis. Methods: 22 patients underwent complete excision of
intracardiac myxoma between January 2011 and December 2020. Majority of the
patients were females (60%) with mean age of 48.9 years who presented with symptoms of dyspnea
on exertion. 3 patients had significant complications due to
myxoma. 2 presenting with tumor embolism and limb ischemia while 1 patient
presented with pulmonary edema. All patients were diagnosed by echocardiography
which helped in evaluation of size and extent of tumor. Majority of patients
underwent trans-septal biatrial approach for tumor excision. Results: 95% of patients survived the operation. The mean
tumor size excised was 5.0 ± 1.6 cm in the largest diameter. 11 patients had sessile tumor while 1
patient had dumb bell tumor occupying both atria. 15 patients were surviving
the operation while 2 deaths happened after 6 years of surgery. Conclusion: Cardiac myxomas are rare tumors which can cause
severe systemic and cardiac symptoms in patients. Early diagnosis and immediate
surgical management give excellent early and long-term results.