Cardiac Myxoma: 31-Years Experience in 74 Patients

Costa, Isabela Bispo Santos da Silva; Nishida, Gustavo; Rodrigues, Mariana; Malafaia, Felipe L.; Filho, Luis Antonio Donini; Silva, Guilherme; Correia, Edileide de Barros

doi:10.1016/s0735-1097(15)60937-8

Cited by 103 publications

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“…In our study population, 48 (27.1%) patients came to the hospital for embolic events, which was a larger number than that reported in previous studies with relatively large samples (Yan YAO, et al 14.9%; Zhi-nong Wang, et al 20.4%; Seung-Jae Lee, et al 22.0%) [5,14,18]. These data reflected not only the different samples and study methods but also the medical levels and culture in different countries and regions.…”

Section: Discussionmentioning

confidence: 58%

“…reported that symptoms appeared 2 to 36 months (mean 13.60 ± 7.52) before the diagnosis of symptomatic patients with atrial myxoma in Serbia. Moreover, many studies as well as our results showed that the incidence of dyspnea, the most common symptom in patients with cardiac tumors, was not as high [19–21]. Therefore, we proposed that symptomatic patients be examined promptly and that asymptomatic patients in high‐risk age groups undergo regular medical examinations to diagnose as many patients as possible before embolism, which had a negative impact on health and the economy as POAF.…”

Section: Discussionmentioning

confidence: 90%

“…While the pathologic basis of other cardiovascular diseases would usually continue to influence the patients’ condition, most patients had to receive long‐term medical treatment, which was a double‐edged sword at some point. Therefore, the patients with LA myxoma enjoyed a satisfactory prognosis, as reported by most studies [4, 19–21], and there should be enough mortality events to identify the independent risk factors for patients undergoing the isolated resection of LA myxoma. However, it seemed to be difficult in rare tumors with favorable prognoses.…”

Section: Discussionmentioning

confidence: 93%

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What Influences the Patients with Left Atrial Myxoma: From Embolism to Postoperative Atrial Fibrillation

Xiong

Song

et al. 2020

World j. surg.

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Background Preoperative embolism and postoperative atrial fibrillation (POAF) are two important factors associated with impaired health conditions and increased economic burden in patients with left atrial (LA) myxoma. The aim of this study was to analyze embolic events, identify predictors of POAF, and evaluate the risk of late-term survival in patients with LA myxoma. Methods From December 2009 to December 2019, 177 consecutive patients with LA myxoma who met the selection criteria were included in the retrospective analysis. Multivariate logistic regression analysis was performed to identify predictors of POAF. Propensity score matching was used for confounder control, and Cox proportional hazards models were used to evaluate the risk of late-term mortality. ResultsThe study population comprised of 125 patients in non-POAF group and 52 patients in POAF group. Preoperative embolism was present in 27.1% of the all cases. By multivariate analysis, age, NYHA functional class III, LA diameter, and cross-clamp time were identified as independent predictors of in-hospital POAF. The overall survival at 1, 5, and 10 years for the 177 patients was 98.9%, 93.7%, and 84.4%, respectively. There was no statistical difference in late-term survival between the two groups in the Cox proportion-adjusted survival curve. After propensity score 1:1 matching, patients with POAF had a longer postoperative hospital stay and Kaplan-Meier survival curve also showed no statistical difference between the two groups. Conclusions Patients with LA myxoma after surgical treatment had a favorable prognosis. In-hospital POAF was not independently associated with late-term mortality in patients with LA myxoma.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 93%

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What Influences the Patients with Left Atrial Myxoma: From Embolism to Postoperative Atrial Fibrillation

Xiong

Song

et al. 2020

World j. surg.

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Heart

Virmani¹,

Burke²

2007

The Cancer Handbook

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Cardiac tumours are rare. In children, the most common are rhabdomyoma and cardiac fibroma, non‐neoplastic growths that are associated with extracardiac malformations. True neoplasms occur primarily in adults. Most are benign (cardiac myxoma), but malignant heart tumours (cardiac sarcomas) may also occur, and clinically mimic myxoma. Any cardiac tumour, whether biologically malignant or truly neoplastic may cause morbidity or mortality by obstructing blood flow or compressing vital structures.

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Left ventricular myxoma with Carney complex

et al. 2018

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The left ventricle is a less frequent location of cardiac myxomas overall. Meanwhile, cardiac myxomas related to Carney complex (CNC), which is a multiple neoplasia syndrome involving cardiac, endocrine, neural, and cutaneous tumours, more frequently occur in the left ventricle compared with sporadic cardiac myxomas. Herein, we report a case of a 20‐year‐old woman with CNC who underwent complete surgical excision of a large and mobile left ventricular myxoma. In our case, echocardiography performed 4 years earlier was normal. This case highlights the importance of annual follow‐up by echocardiography in patients with CNC, because early diagnosis of cardiac myxomas might improve their prognosis. Besides, we should bear in mind the possibility of CNC if the patients have cardiac myxoma in a cardiac chamber other than the left atrium at a younger age.

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Cardiac Myxoma: 31-Years Experience in 74 Patients

Cited by 103 publications

References 0 publications

What Influences the Patients with Left Atrial Myxoma: From Embolism to Postoperative Atrial Fibrillation

What Influences the Patients with Left Atrial Myxoma: From Embolism to Postoperative Atrial Fibrillation

Heart

Left ventricular myxoma with Carney complex

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