Surgical excision of intracardiac myxomas: A 20-year follow-up

Bortolotti, Uberto; Maraglino, G; Rubino, Maurizio; Santini, Francesco; Mazzucco, Alessandro; Milano, Aldo Domenico; Fasoli, G; Livi, Ugolino; Thiene, Gaetano; Gallucci, Vincenzo

doi:10.1016/0003-4975(90)90253-3

Cited by 93 publications

(60 citation statements)

References 15 publications

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“…[20][21][22][23] The myxoma which is attached to the fossa ovalis, is removed through right atrial incision if small or through left atrial incision if large, the bi-atrial approach is particularly useful if the base of the left atrial myxoma is sessile. 24 In patients with right atrial myxoma both cavae should be cannulated directly or venous drainage should be provided by superior vena cava and femoral vein cannulation.…”

Section: Discussionmentioning

confidence: 99%

Systemic manifestations of atrial myxoma

Mir¹,

Ali²,

Kohli³

2017

Int Surg J

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Background: Approximately 70% of the cardiac tumors are benign, atrial myxoma is the most common, and is seen more in females. Presentation is variable, and patients can present with cardiac symptoms or systemic manifestations. Prognosis may be grave if the presentation is late or if the diagnosis and surgery is delayed. Accurate diagnosis, early surgical intervention gives excellent results.Methods: The study was conducted in the department of cardiovascular and thoracic surgery, all the patients who had diagnosis of cardiac myxoma irrespective of age, sex and associated diseases were included in the study. Transthoracic echocardiography was the initial investigation of choice, in some vascular Doppler studies, and CT scan was also done. All were operated under cardiopulmonary bypass, myxoma was approached by left atriotomy, tumor along with its base was excised, and the defect so created was closed directly or a patch repair was done.Results: Majority were in 5th decade of life, females were more. Presentation included breathlessness, edema, hemiparesis, monoparesis, aphasia. Clinical examination revealed anemia, dyspnea, edema, audible murmur, weakness of limb/limbs and aphasia. Echocardiography established diagnosis in all. Left atrium was the common chamber involved. Interatrial septum on left atrial side was the common site of myxoma origin. All had uneventful post-operative period, and there was no mortality.Conclusions: Atrial myxoma, though very rare, can present with a grim phenomenon, early and accurate diagnosis, followed by excision under cardiopulmonary bypass gives excellent results.

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Section: Discussionmentioning

confidence: 99%

Systemic manifestations of atrial myxoma

Mir¹,

Ali²,

Kohli³

2017

Int Surg J

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“…En el caso de nuestra paciente, la vía de abordaje fue transáortica, porque el mixoma estaba localizado en el TSVI, mientras que para otras localizaciones la vía utilizada es la auricular. La resección del mixoma no requiere de la extirpación completa de la pared ventricular, porque no se han observado recidivas cuando se realizan resecciones más limitadas 15 . En síntesis, una paciente portadora de un mixoma ventricular izquierdo con obstrucción parcial del TSVI sin sintomatología asociada, incidentalmente diagnosticado por Eco2D.…”

Section: Discussionunclassified

Mixoma ventricular izquierdo asintomático diagnosticado circunstancialmente por ecocardiografía

Díaz

Aranguiz

2013

Rev. méd. Chile

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We report a 50 year-old hypertensive and asymptomatic woman in whom a left ventricular tumor was found on a routine two-dimensional. La sintomatología depende de su localización, aunque ocasionalmente no producen síntomas y su pesquisa es posible por el uso cada vez más frecuente de la ecocardiografía 3,4 . Caso clínicoMujer de 50 años, hipertensa, asintomática. En control ambulatorio rutinario se solicitó un ecocardiograma bidimensional transtorácico (Eco2D), luego de la auscultación de un soplo sistólico III/VI en el foco aórtico. El Eco2D reveló la existencia de una masa móvil al interior del ventrículo izquierdo de 5,0 x 1,3 cm, adherida al septum interventricular, con zonas de intensidad aumentada, sugerentes de calcificación (Figura 1, panel A), que provocaba una obstrucción parcial del tracto de salida del ventrículo izquierdo (TSVI), con gradiente máxima de 26 mmHg (Figura 1, panel B). No se observaron tumores adicionales en ninguna otra cámara cardiaca y los exámenes de laboratorio, radiografía de tórax y electrocardiograma resultaron normales. Para una mejor evaluación de la masa intraventricular, se realizó ecocardiografía tridimensional (Eco 3D), que permitió identificar la morfología multilobular del tumor, objetivándose -además-que ocupaba 65% del TSVI (Figura 1, panel C y D). Para complementar la evaluación, se efectuó resonancia cardiaca (RC) que mostró un tumor con señal isointensa respecto del tejido miocárdico y un pedúnculo de anclaje de 2 cm adherido al tercio superior del septum interventricular superior, que no interfería con el normal funcionamiento del aparato subvalvular mitral (Figura 1, panel E). En la imagen de inversión/recuperación posterior

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“…Sixty-seven per cent of our patients required reconstruction of the excised atrial septum. The results of surgical excision as reported in world literature have been good with an overall operative mortality of about 5 per cent [4,5]. Virtually all the deaths are related to co-existing cardiac or degenerative disease [1].…”

Section: Discussionmentioning

confidence: 99%

“…Seventy-five per cent occur in the left atrium although they have also been reported in the right atrium and both ventricles [1,3,4]. A left atrial myxoma was successfully removed using cardiopulmonary bypass by Craafoord in 1954 [4J.…”

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confidence: 99%

Intracardiac Tumours – Experience With 12 Cases

Ganguly

Rajan

et al. 1996

Medical Journal Armed Forces India

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Twelve cases of intracarrliac tumours operated during the period 1975 to 1994 arc presented. There were 8 males and 4 females in the age range of IS years to 64 years, Tumours were located in the left atrium in 10 patients lind in the right atrium ill 2 patients. Standard cardiopulmonary techniques were followed. The right atrial tumours were approached through a right atrial incision while the left atrial tumours were approached through II hi-atrial trans-septal approach. One patient underwent a perineal urethrolithotomy for an impacted urethral calculus at the same sitting. Eleven of the tumour masses excised were myxomas confirmed Oil histopathology. The last patient, operated for synovial sarcoma of the left knee 2 years before, presented with a metastatic tumour mHSS in the left atrium. No deaths occurred in the series. t\UAFI1996; 52: 141-144

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Surgical excision of intracardiac myxomas: A 20-year follow-up

Cited by 93 publications

References 15 publications

Systemic manifestations of atrial myxoma

Systemic manifestations of atrial myxoma

Mixoma ventricular izquierdo asintomático diagnosticado circunstancialmente por ecocardiografía

Intracardiac Tumours – Experience With 12 Cases

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