Early result of minimally invasive left atrial myxoma resection at cardiovascular center - E hospital

Abstract

Objectives: The study aimed to evaluate clinical and paraclinical characteristics of left atrial myxoma and the early result of the minimally invasive procedure to remove left atrial myxoma at E hospital.
 Subjects and methods: This is retrospective, descriptive study of consecutive patients, who underwent minimally invasive left atrial myxoma rejection, using total or video-assisted endoscopic technique from October 2016 to March 2021 at E hospital. There were 31 patients, consisting of 27 females and 04 males. The mean age was 53 ± 13 years old (from 17 to 74 years old)
 Results: Preoperative clinical manifestations were diverse. Asymptomatic form was in 3 patients (9.7%), hemodynamic symptoms were in 26 patients (83.9%), embolism symptoms were presented in 4 patients (12.9%), systemic symptoms (25.8. Anemia and elevated erythrocyte sedimentation rates were observed in 45.2% and 74.2%, respectively. Echocardiography results: the average tumor size was 4,8 ± 1,8 cm (from 1.7 to 8 cm), the site of attachment was mainly in the atrial septum (77.4%). Cardiopulmonary bypass time was 158 ± 43 minutes (from 100 to 252 minutes), cross-clamp time was 84 ± 34 minutes (from 42 to 153 minutes). Ventilation time was 10,8 ± 7,0 hours (from 3 to 30 hours), intensive care unit stay was 1,5 ± 1,0 days (from 0.5 to 4 days), and in-hospital stay was 9.5 ± 5.0 days (from 3 to 30 days). There was no hospital mortality. Cerebrovascular accident was presented in one (3.2%), femoral artery stenosis was in one (3.2%), atrial fibrillation after surgery was in one (3.2%). There was no bleeding, that require reoperation, and no other serious complications.
 Conclusions: Initial results of left atrial myxoma rejection, using minimally invasive total or video-assisted technique wassafe and effectivewith low complications, could be recommended to apply routinely in cardiac surgery centers