Mid-term outcome of intracardiac myxoma resection
ZHANG Yong
WANG Peng-yu
CHEN Ke
LIU Yu
ZHANG Chun-zhen
LAN Huai
LYU Li-hua
FANG Min-hua
Abstract：Objective To investigate the med-term outcome of intracardiac myxoma resection.Method The clinical data of 146 patients with myxoma undergoing intracardial myxoma resection admitted to the Department of Cardiovascular Surgery of the General Hospital of Northern Theater Command from June 2011 to June 2015 were retrospectively analyzed.Among them,the primary site of myxoma was in the left atrium in 124 patients(84.9%),in the right atrium in 16 patients(11.0%),in the right ventricle in 5 patients(3.4%),and in the left ventricle in 1 patients(0.7%).The main clinical symptom of the patients was dyspnea.Cardiac ultrasonography was performed before the surgery,and myxoma was confirmed by pathological examination after the surgery.All the patients underwent midsternal thoracotomy for surgical treatment.Results There was no death in the hospital(survival rate was 100.0%).One patient underwent secondary debridement due to poor postoperative incision healing.All the patients were followed up at discharge and 132 patients(90.4%)were finally followed up.The cumulative survival rate at 1 and 3 years was 99.3%and 97.8%,respectively.Surviving patients were classified as GradeⅠ to Grade Ⅱ by cardiac functional grading of the New York Heart Association.Conclusion Myxoma may cause heart failure or pulmonary embolism due to different attachment sites.So it should be surgically removed as soon as possible.Surgical treatment is safe and effective.Regular follow-up and routine echocardiogram examination should be performed after the surgery.
Keywords：MyxomaSurgeryMid-term outcomesFollow-up
Publication Date：2023-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 332-335 )