Cardiac myxoma: clinical characteristics, surgical intervention, intra-operative challenges and outcome

Abeeleh, Mahmoud Abu; Saleh, Suhayl S.; Alhaddad, Emad; Alsmady, Moaath; Alshehabat, Musa A.; Ismail, Zuhair Bani; Massad, Islam M.; Hani, Amjad Bani; Abu-Halaweh, Sami A.

doi:10.1177/0267659117722596

Cited by 22 publications

(20 citation statements)

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“…Los mixomas son los tumores cardíacos primarios más frecuentes, sin embargo, su incidencia es baja y en nuestro centro, durante el período de estudio, correspondieron a 0,66% de las cirugías cardíacas realizadas con CEC. Se consideran tumores benignos, pero con comportamiento potencialmente letal [1][2][3][4][5][6][7] .…”

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“…Dos pacientes se presentaron con infarto agudo al miocardio, posiblemente secundario a embolización coronaria. En 18 pacientes, el diagnóstico fue un hallazgo (tabla 1), resultados similares a los reportados en la literatura (Figura 2) [5][6][7][8][9][10] .…”

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“…El diagnóstico por ecocardiografía ha representado un gran aporte para la pesquisa de pacientes asintomáticos estudiados por otro motivo o en control por patología cardiovascular como hipertensión arterial, con lo cual el diagnóstico y el volumen de pacientes operados se ha incrementado, ya que este método logra identificar a 90% de los casos. A su vez, la ecocardiografía 3D permite definir con exactitud la morfología y el tamaño del tumor, así como el grado de obstrucción del flujo sanguíneo, permitiendo una mejor planificación preoperatoria [3][4][5][6][7]11 .…”

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“…Cerca de 90% de los casos se presentan de forma aislada; 1 a 3% de los casos son heredados, generalmente en contexto de síndrome de Carney o síndromes mixomatosos 4,5 . Pueden presentarse a cualquier edad, siendo particularmente frecuentes entre la tercera y sexta década de vida, con predominio femenino 6 .…”

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Mixoma cardíaco: experiencia de 28 años en resección quirúrgica

et al. 2020

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Cardiac myxomas. Analysis of 78 cases Background: The incidence rates of cardiac tumors are low. Aim: To report the clinical presentation of cardiac myxomas and long-term evolution after resection. Material and Methods: Review of a database of surgical patients undergoing surgical resection of a cardiac myxoma in a public hospital between 1990 and 2018. Results: Seventy-eight patients aged 53 ± 15 years (65% females) were included. The most frequent comorbidities were arterial hypertension (40.5%), hypothyroidism (15%) and diabetes mellitus (12%). The main presenting symptoms were dyspnea (33%), neurological deficit secondary to embolism (30%) and acute pulmonary edema (5%). The most common location was the left atrium, in 87%. During surgery, cardiopulmonary bypass and aortic crossclamp times were 50.2 ± 19.6 and 33.4 ± 15.2 min, respectively. One patient died due to severe neurological involvement. Follow-up was completed in seventy-seven patients, with a mean echocardiographic follow-up time of 10.4 ± 7.7 years. Thirty-four patients were followed for more than 10 years. Six patients (7.7%) died during the follow-up and in six patients (7%) a recurrence was identified. Conclusions: Cardiac myxoma usually has nonspecific symptoms. Surgical excision offers excellent short and long-term results. Complications and recurrence rates are low in non-hereditary myxomas but obligates to perform echocardiographic follow-up for early diagnosis of recurrence.

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Mixoma cardíaco: experiencia de 28 años en resección quirúrgica

et al. 2020

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“…2,16 Cardiac myxoma was observed in all age groups, and the mean range of age was 42 to 66 years. [17][18] It was rarely reported in younger patients compared with those older, and usually as a familial form of CM. Most commonly, CM was located in the left atrium, whereas unusual locations were detected in the right atrium in 0.7% to 7.5% of patients, in the right ventricle in 0.7% Clinical presentation Clinical presentation and signs observed in patients with CM depend on the location and mobility of the tumor.…”

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Current challenges in the diagnosis and treatment of cardiac myxoma

Samanidis¹,

Khoury²,

Balanika³

et al. 2020

Kardiol Pol

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Methods This review is based on research of the current literature regarding the epidemiology of CM, its clinical presentation, diagnosis, and treatment. The PubMed database was searched for eligible studies and the search was restricted to the years 2000 to 2019. The search term was "cardiac myxoma" and we included observational or retrospective studies with large samples of patients who were treated for CM only. In addition, the data of interest to the present review were long-term follow-up, the recurrence rate during follow-up, and the survival rate after CM resection. Additionally, we looked for studies on novel surgical techniques for CM resection and those describing unusual CM location or clinical presentation. The primary source for data extraction were 24 articles from 15 countries, which reported on a total of 2205 patients with CM (TABLE 1). 1-24 We included studies from Europe, North and South America,

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A 46‐Year‐Old Woman with Dyspnea on Exertion and Daily Emesis

2019

Cardiology Board Review

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Cardiac myxoma: clinical characteristics, surgical intervention, intra-operative challenges and outcome

Abstract: The success rate after surgical removal of cardiac myxoma in this study was substantial and complications were rare.

Cited by 22 publications

References 14 publications

Mixoma cardíaco: experiencia de 28 años en resección quirúrgica

Mixoma cardíaco: experiencia de 28 años en resección quirúrgica

Current challenges in the diagnosis and treatment of cardiac myxoma

A 46‐Year‐Old Woman with Dyspnea on Exertion and Daily Emesis

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