Mishra Amit, Shah Mehul, Sharma Pranav, Kothari Jignesh, Malhotra Amber
Associate Professor, Pediatric Cardiac Surgery, Department of Cardiovascular and Thoracic Surgery, U.N. Mehta Institute of Cardiology and Research Center, Asarwa, Ahmedabad 380016, Gujarat, India.
Associate Professor, Department of Cardiovascular and Thoracic Surgery, U.N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India.
Med J Armed Forces India. 2014 Jan;70(1):5-9. doi: 10.1016/j.mjafi.2013.05.009. Epub 2013 Aug 30.
Cardiac myxomas are the most common benign intracardiac tumors. We studied the clinical presentation of cardiac myxomas, their morbidity, mortality and recurrence rate following surgery at our institution over a period of four years.
During August 2008 to November 2012, a total of 12023 cardiac surgeries were performed. Amongst these, 50 patients (12 males, 38 females) underwent complete removal of primary or recurrent intracardiac myxomas. Complete tumor excision with a cuff of interatrial septum followed copious saline irrigation of the cardiac chambers was performed in each case.
Forty six patients survived the surgery of which 43 are being followed up at regular intervals for development of recurrence. Myxomas constituted 0.41% of the total cardiac surgeries at our institute. Most of them were noted in the fourth decade. The commonest location was left atrium (74%) followed by right atrium (22%). Only one patient had a myxoma in the right ventricle. Forty six patients (92%) survived the surgery.
Cardiac myxoma excision account for a very small percentage of cardiac procedures. Immediate surgical treatment is indicated in all patients. Cardiac myxomas can be excised with a low rate of mortality and morbidity.
心脏黏液瘤是最常见的心脏良性肿瘤。我们研究了心脏黏液瘤的临床表现、在我院四年期间手术后的发病率、死亡率和复发率。
2008年8月至2012年11月期间，共进行了12023例心脏手术。其中，50例患者（12例男性，38例女性）接受了原发性或复发性心脏黏液瘤的完整切除。每例均在完整切除肿瘤并带有房间隔袖口后，用大量生理盐水冲洗心腔。
46例患者手术后存活，其中43例定期接受随访以观察复发情况。黏液瘤占我院心脏手术总数的0.41%。大多数患者发病于第四个十年。最常见的部位是左心房（74%），其次是右心房（22%）。只有1例患者的黏液瘤位于右心室。46例患者（92%）手术后存活。
心脏黏液瘤切除术在心脏手术中所占比例非常小。所有患者均应立即进行手术治疗。心脏黏液瘤切除手术的死亡率和发病率较低。
