A Snapshot on Myxoma Operation of 62 Patients at National Institute of Cardiovascular Diseases(NICVD), Dhaka, Bangladesh

Abstract

Background: Intra-cardiac mass, particularly myxoma operation is common at NICVD .Its frequency is about 1-2% among all operations done here. The main aim of this study was to analyze the different aspects of this tumour and its surgery on 62 patients operated over last three years (2015-2017).
 Methods: It is a retrospective study .The data were collected over a period of 03 years (2015-2017) For this I studied the ward admission register, OT and ICU registers ,ICU flow charts, talked with the respective unit doctors to collect my data. Then the data were analyzed manually and by computer.
 Results: Age range of the patients were from 7.5 years to 65years with a mean±SD (36.94±13.99). Male and female patient ratio were M:F=1:1.81.Myxoma were more common in the 4th and 5th decade of life in this study population .Preoperative time delay for operation after hospital admission was 9±2.12days.All the operations were done as an elective procedure rather urgent or emergency procedure. Post operative mortality was around 12.90% among these patients. The causes of high mortality following myxoma operation were Low Output Syndrome, Congestive Heart Failure , Cerebral stroke and septicaemia.
 Conclusion: Myxoma operation is common in NICVD. Most of our patients were dealt as a routine procedure. Their features and surgical procedure were similar with a little difference among the neighbouring countries. Our post operative outcome was a little bit worse (12.90% mortality) over the mentioned period. We need to find out the causes and to take care of these patients to reduce mortality in future.
 Bangladesh Heart Journal 2018; 33(2) : 85-89

Cardiac Myxoma among Patients Undergoing Cardiac Surgery in a Tertiary Care Center: A Descriptive Cross-sectional Study

“…Various operative approaches to myxoma excision have been described in literature like minimally invasive, endoscopic, and robotically-assisted techniques, however, median sternotomy remains the most commonly performed one. 2 All our patients underwent median sternotomy. The tumor size ranged from 2cm to 8cm, with a mean size of 4.13±1.39cm.…”

“… 1 Metastatic tumor of the heart is commoner than benign tumors with a prevalence of 1% and 0.1%, respectively. 2 The ratio of occurrence of primary benign to malignant cardiac tumors is 2:1. 3 Myxoma and sarcoma are the commonest benign and malignant cardiac tumors respectively.…”

Activist public relations in developing contexts where rules and norms collide: insights from two activist organizations against gender-based violence in Bangladesh

“…2. The indigenous institutions that use traditional and religious rules to govern villages in Bangladesh (Islam, 2002). …”

“…3. The judicial system by which samaj resolves local conflicts and punishes offenders (Islam, 2002). …”

“…Non-western developing cultures are characterized by formal institutional voids (Bothello et al , 2019). Formal institutional voids are features of environments in which formal laws and regulations are overruled by social or traditional norms and authorities (informal institutions) (Mair and Marti, 2009), such as chiefs [1] in Africa (Ray and Reddy, 2003), autonomous indigenous communities in Bolivia (Tockman et al ., 2015), samaj [2] and Salish [3] in Bangladesh (Islam, 2002) and adat [4] in Indonesia (Hauser-Schäublin, 2013). Therefore, the state laws and regulations in developing contexts are not as powerful as their western counterparts, and do not effectively address societal issues, especially if those laws and regulations contradict traditional institutions.…”