Samanidis George, Perreas Konstantinos, Kalogris Panagiotis, Dimitriou Stergios, Balanika Marina, Amanatidis Gregory, Khoury Mazen, Michalis Alkiviadis
2nd Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece.
Interact Cardiovasc Thorac Surg. 2011 Dec;13(6):597-600. doi: 10.1510/icvts.2011.278705. Epub 2011 Sep 4.
Cardiac myxoma is the most common benign tumor of the heart. It presents with a variety of clinical signs and symptomatology making diagnosis frequently quite a challenge. We review our experience with 41 patients who underwent surgical intervention for cardiac myxoma between 1994 and 2011. All patients' preoperative, intraoperative and postoperative characteristics were recorded. They all had a standard sternotomy and cardiopulmonary bypass with cardioplegic cardiac arrest and were followed up with clinical examination and echocardiography. The surgical goal was to remove not only the tumor but the whole area of attachment to prevent recurrence. Biatrial approach facilitated the complete excision of the tumor. Surgical excision of cardiac myxoma carries a low-operative risk and gives excellent short- and long-term results.
心脏黏液瘤是最常见的心脏良性肿瘤。它表现出多种临床体征和症状，这使得诊断常常颇具挑战。我们回顾了1994年至2011年间41例接受心脏黏液瘤手术干预患者的经验。记录了所有患者的术前、术中和术后特征。他们均接受标准胸骨切开术及体外循环下心脏停搏，术后通过临床检查和超声心动图进行随访。手术目标不仅是切除肿瘤，还要切除整个附着区域以防止复发。双心房入路有助于肿瘤的完整切除。心脏黏液瘤的手术切除具有较低的手术风险，并能带来出色的短期和长期效果。
