Lazzara R R, Park S B, Magovern G J
Department of Surgery, Allegheny General Hospital, Medical College of Pennsylvania, Pittsburgh.
J Cardiovasc Surg (Torino). 1991 Nov-Dec;32(6):824-7.
Nineteen patients with cardiac myxoma were seen at Allegheny General Hospital from November 1974 to December 1990. Eighteen underwent operative removal, 9 females and 9 males; age range was 29-81 (mean 55). There were 18 operations for removal of a total of 24 myxomas. Fifteen patients had single myxomas and 3 had multiple myxomas. Of the 3 patients with multiple myxomas, 2 were familial. One patient had a metastatic recurrence intracranially. Perioperative mortality was 1 of 18 (5.5%). Operative morbidity was 12 of 18 (66.6%). Three patients required permanent pacemakers postoperatively (16.6%). Follow-up is complete and 15 of 17 patients (88%) are alive at a mean follow-up interval of 66.6 months (range 3-196 months).
1974年11月至1990年12月期间,阿勒格尼综合医院共收治了19例心脏黏液瘤患者。其中18例接受了手术切除,9例女性,9例男性;年龄范围为29 - 81岁(平均55岁)。共进行了18次手术,切除了24个黏液瘤。15例患者为单发黏液瘤,3例为多发黏液瘤。在这3例多发黏液瘤患者中,2例为家族性。1例患者颅内出现转移性复发。围手术期死亡率为18例中的1例(5.5%)。手术并发症发生率为18例中的12例(66.6%)。3例患者术后需要永久性起搏器(16.6%)。随访完整,17例患者中有15例(88%)存活,平均随访时间为66.6个月(范围3 - 196个月)。