Diagnosis and Treatment of Cardiac Myxoma-Short Term Clinical Analysis of 14 Cases in a Single Hospital

Abstract

Objective: Short term clinic-pathological analysis of intracardiac myxoma in 14 cases Material and Methods: From January-2016 to May-2016, 14 patients, 5 males and 9 females, aged 22 ~ 71 mean age (45.1 ± 13.3) years were admitted in our department of cardio-vascular surgery, the second affiliated hospital of Zhengzhou university. All the patients were diagnosed to have myxoma by transthoracic echocardiography. Myxoma was in different positions in the heart, 9 cases in left atrium, 2 cases in right atrium, 2 cases in left ventricule and 1 case in right ventricle. All the patients were performed open heart surgery via midsternal incision under cardiopulmonary bypass with slight hypothermia and myxomas were excised successfully. Result: Myxoma was found most commonly in the left atrium. All the 14 patients were performed open heart surgery as to remove the myxomas. 1 patient died due to acute renal failure and low cardiac output syndrome at 24hr postoperative with perioperative mortality rate of 7.14%. All other patients had uneventful recovery and discharged at postoperative 10-19 days with average hospital stay time of 13.76 days. Conclusion: Myxoma is the most common tumor of the heart which is most frequently located in the left atrium. Careful surgical excision and meticulous removal of myxomatous debris with proper perioperative management is the choice of treatment with minimal early and late morbidity as well as mortality.