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Cardiac Myxomas: Experience Over One Decade
Author(s) -
Patil Nikhil Prakash,
Dutta Nilanjan,
Satyarthy Subodh,
Geelani Muhammad Abid,
Kumar Satsangi Deepak,
Banerjee Amit
Publication year - 2011
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.1540-8191.2011.01271.x
Subject(s) - medicine , asymptomatic , myxoma , surgery , single center , cardiology
Background : This single‐center study reviews our experience with cardiac myxomas over the past decade. Methods : Sixty‐two patients (23 male) with median age 38 years (range: 8 to 69 years) underwent excision of primary or recurrent cardiac myxomas between 2000 and 2009. Patients were evaluated with echocardiography preoperatively and annually postoperatively. Follow‐up is current for all survivors (range 13 months to 10 years). Results : Fifty‐two patients had left atrial myxomas, seven right atrial, two biatrial, and one right ventricular. Three cases were familial. Maximum number of myxomas in a single patient was four. Symptom duration ranged from two to eight months. Two early deaths were due to low cardiac output and embolic cerebrovascular accident; one late death was due to a noncardiac cause. Actuarial survival was 96.8 ± 1.8% at 10 years. Most patients were asymptomatic following surgery. No sporadic, multiple, or biatrial myxomas recurred. Recurrence occurred in two familial cases, both with single, left atrial myxoma. Freedom from reoperation was 98.4 ± 1.3% at five years and 96.8 ± 1.8% at 10 years. Conclusions : Biatrial involvement or multiplicity of myxomas does not mandate recurrence. Surgical excision has excellent overall survival and freedom from reoperation rates, but annual follow‐up including echocardiographic surveillance is recommended as familial cases tend to recur. (J Card Surg 2011;26:355‐359)