Abstract
Introduction: Cardiac myxomas are the most frequent cardiac tumors. The aim of study is to describe the incidence, clinical symptoms, investigation findings and surgical management of cardiac myxomas.
Methods: From July 2015 to July 2017, 15 patients of primary intracardiac myxoma underwent surgical excision at our institute. Their age ranged from 40 years to 65 years with predominance of female patients (73.3%). Surgical resection was done in all the cases via biatrial approach or right atriotomy. Post-operative echocardiogram was done in all patients before discharge. Maximal follow-up of two years and minimum follow-up of 6 months was done after surgery.
Results: The tumors presented in a variety of ways, namely, dyspnea (66.7%), chest pain (26.27%) and transient ischemic attack (6.6%), beingthe common modes of presentation. The most common location for the tumor was the left atrium (80%) with the fossa ovalis being the most common (66.7%) site of attachment. No mortality or any significant morbidity was found. On follow-up all patients were in NYHA class 1 and their echocardiography showed good ventricular function with normal pulmonary artery pressure with patch in situ. No recurrence was reported till date.
Conclusion: Early diagnosis and surgical resection of cardiac myxomas contributes to excellent prognosis and associated with low complications and recurrences rate. Regular long-term follow-up should be done in all patients with cardiac myxomas.
Keywords: Cardiac myxomas, rightatriotomy, echocardiography.
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Corresponding Author
Dr. Dhananjay Bansal (MCh CTVS)
Dept. of CTVS, ABVIMS, Dr. RML Hospital, New Delhi, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i9.28
