The Tactics of Safe Removal of Heart Myxomas; The Experience of 796 Operations

Abstract

Objective: In the structure of cardiac new formation, myxoma constitute 80-90% of benign heart tumors. The aim of the study was to determine the features of diagnosis and to search the tactics of optimal and the safe surgical treatment of myxoma of the heart. Material and methods: In N.M. Amosov Institute of Cardio-Vascular surgery of the Academy of Medical Sciences of Ukraine for period from 1.01.1969 to 1.01.2017 889 patients with primary heart tumors had surgical treatment. The myxomas of heart (MH) was founded in 796 (89,5%) cases, from them in 696 (87,4%) cases – MH of left atrium (LA). The other benign heart tumours were observed in 33 (3,7%) cases, malignant heart tumours – in 60 (6,8%) cases. Results: Hospital mortality in the surgical treatment of MН was 4.9% (39 cases). Conclusions: Over the past 16 years, 433 operations have been performed without lethal results, due to the peculiarities of the tactics of emergency diagnosis and surgical treatment, and radicality of removal of heart tumors.