2014
DOI: 10.14503/thij-13-3862
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Left Atrial Myxoma with versus without Cerebral Embolism: Length of Symptoms, Morphologic Characteristics, and Outcomes

Abstract: The aim of this study was to evaluate the embolic sequelae of left atrial myxomas and their influence on diagnosis, treatment, and prognosis. Seventy-eight patients were retrospectively investigated. According to their symptoms and neurologic-imaging findings, these patients were classified into 2 groups: embolism (15 patients, 19%) and nonembolism (63 patients, 81%). The time from the first onset of symptoms to diagnosis (that is, the duration of symptoms) was significantly longer in the embolism group than i… Show more

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Cited by 19 publications
(25 citation statements)
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“…Surgery should be done as soon as possible after the diagnosis since patients are at risk of embolization. [8][9][10] Important surgical principle in the operative field is minimal handling of the cardiac chambers to prevent tumour emboli and complete excision of tumour with a cuff of normal endocardium.…”
Section: Discussionmentioning
confidence: 99%
“…Surgery should be done as soon as possible after the diagnosis since patients are at risk of embolization. [8][9][10] Important surgical principle in the operative field is minimal handling of the cardiac chambers to prevent tumour emboli and complete excision of tumour with a cuff of normal endocardium.…”
Section: Discussionmentioning
confidence: 99%
“…Çeşitli çalışmalarda prezentasyon şekilleri farklılık göstermekle birlikte, hastaların en sık dispne şikayeti ile başvurdukları bilinmektedir (3,6,24,(26)(27)(28) . Miksomaya bağlı çok önemli bir komplikasyon ve aynı zamanda bazı hastalarda hastalığın ortaya çıkış şekli olan emboli ise yaklaşık olarak %15-30 sıklığında görülmektedir (6,15,(25)(26)(27)29) . Bizim çalışmamızda da şikayetler arasında ilk sırada dispne yer almaktaydı.…”
Section: Discussionunclassified
“…Hastaların %10-%15'i asemptomatik olup rastlantısal olarak tanı konarken, %60-%90'ında ise kardiyak semptomlar mevcuttur (13,14) . Kardiyak miksomaya bağlı sistemik veya serebral embolizm %10 ile %30 sıklıkla beklenenden daha fazla görülmektedir (15) .…”
Section: Introductionunclassified
“…Важливою ознакою при діагностиці МС є відсутність ревматичного анамнезу, хоча можливі поєднання ревматизму і пухлини серця [35]. В 1/3 хворих спостерігаються емболії, що виникають внаслідок фрагментації міксоми [5,38,39]. При локалізації МС у лівих відділах серця емболія можлива у нирках, коронарних судинах, головному мозку, селезінці [26,38].…”
Section: о б з о р л и т е р а т у р ыunclassified