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Primary Cardiac Myxomas: Clinical Experience and Surgical Results in 67 Patients
Author(s) -
Tasoglu Irfan,
Tutun Ufuk,
Lafci Gokhan,
Hijaazi Ala,
Yener Umit,
Ulus Adnan Yalcinkaya Tulga,
Aksoyek Aysen,
Sarıtas Ahmet,
Birincioglu Levent,
Pac Mustafa,
Katircioglu Fehmi
Publication year - 2009
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00797.x
Subject(s) - medicine , primary (astronomy) , general surgery , physics , astronomy
Background: Primary cardiac tumors are rarely seen and have an incidence of 0.3% of all open‐cardiac operations. Among those, myxoma is the most common cardiac tumor. There are only a few reports of such tumors from Turkey. Methods and Results: We report our experience with 67 patients with primary cardiac myxoma operated on at our institute between December 1990 and October 2006. The study group comprised 22.38% males and 77.61% females with a mean age of 46.29 (±18.29) years. The predominant symptoms were dyspnea and palpitation. In addition, 3 patients presented with peripheral embolism with impending limb ischemia that necessitated emergency embolectomy. Echocardiography was generally enough for the demonstration of the myxomas. Two sporadic myxomas (%2.98) and one familial myxomas (1.49%) presented with recurrence. There were three (4.47%) hospital mortalities. Two patients (2.27%), with preoperative decompensation, died after tumor resection, from progressive low cardiac output. One patient, with preoperative massive pulmonary embolus, died two days after operation, from right ventricle insufficient. Conclusion: In conclusion, we herein summarized surgical results with primary cardiac myxomas. Surgical excision of primary cardiac myxomas tends to show excellent results after surgical excision.