Surgical treatment of primary intracardiac myxoma: 19 years of experience

Abstract

Cardiac myxoma is the most common benign tumor of the heart. It presents with a variety of clinical signs and symptomatology making diagnosis frequently quite a challenge. We review our experience with 41 patients who underwent surgical intervention for cardiac myxoma between 1994 and 2011. All patients' preoperative, intraoperative and postoperative characteristics were recorded. They all had a standard sternotomy and cardiopulmonary bypass with cardioplegic cardiac arrest and were followed up with clinical examination and echocardiography. The surgical goal was to remove not only the tumor but the whole area of attachment to prevent recurrence. Biatrial approach facilitated the complete excision of the tumor. Surgical excision of cardiac myxoma carries a low-operative risk and gives excellent short- and long-term results.

Atypical size and location of a right atrial myxoma: a case report

“…However, in this series, the mean maximal diameter of the tumors was 5.1±1.8 cm. 10 To the best of our knowledge, our case is one of the largest RA myxomas described in the literature. Although the clinical spectrum can be wide, most affected individuals present with one or more of a triad of symptoms, the so called "myxoma triad", which includes embolic phenomena, intracardiac flow obstruction, and constitutional symptoms.…”

Cardiac myxomas and their surgical results

“…[10] Genellikle kalpte izlenirler. Kardiyak miksomaların tromboembolik olaylar veya beyin metastazları nedeniyle nörolojik semptomları iyi bilinir.…”

“…Miksomalar klinik özellik olarak genellikle kadın hastalarda yaşamın 3. ve 6. dekatlarında, sporadik ve sol atriyuma izole olarak izlenir. [2,7,10,14] Ancak ailesel miksomalar genellikle genç yaşlarda (ort. 27 yıl) görülür ve nüks oranı yük-sektir, bazen multisentriktir.…”

“…[2,4,7,10,14] Ancak EKO miksoma gibi primer kardiyak tümör ve diğer kardiyak kitle ayırımda spesifik değildir. Kardiyak miksoma en sık atriyal trombüs ile karışır.…”

“…Genellikle bir kardiyak kitle belirlemede ilk görüntüleme yöntemi ekokardiyografidir (EKO). [2,7,10] Son yıllarda tanısal amaçlı manyetik rezonans (MR) ve bilgisayarlı tomografi (BT) görüntü-leme yöntemleri tamamlayıcı olmuştur.…”