Cardiac Surgery Intensive Care Unit, Evangelismos General Hospital, Ipsilantou Street, Athens, Greece.
Department of Cardiothoracic Surgery, Evangelismos General Hospital, Ipsilantou Street, Athens, Greece.
Ann Card Anaesth. 2023 Jan-Mar;26(1):17-22. doi: 10.4103/aca.aca_290_20.
Myxomas are the most common primary cardiac tumors that develop mostly at the atrial chambers of the heart and represent 0,25% of all cardiac diseases.
This is a retrospective study aiming to analyze epidemiological and intraoperative data from cardiac myxoma cases in the hospital of the last 32 years. The study population was 145 cardiac surgical patients and was divided into 4 certain 8-year periods. 87,6% of cases had the myxoma located at left atrium and 97,2% of all patients fully recovered. 4,1% of patients relapsed and underwent a redo operation.
Mean CPB time and mean ICU length of stay increased during the 8-year periods (p < 0,001, P < 0,001, P = 0,002 and P = 0,003 respectively). In-hospital length of stay decreased to 5 days in the most recent period (p < 0,001). Cases significantly increased to 54 in the last 8-year period (p = 0,009).
Improvement on cardiac imaging and a better accessibility may drive patients to earlier and safer diagnosis of myxomas preventing any deterioration of their condition. Improvement on postoperative care can also reduce in-hospital length of stay. Surgical excision is the treatment of choice and guaranteed survival at 97,2% of patients.
黏液瘤是最常见的原发性心脏肿瘤，主要发生在心脏的心房，占所有心脏疾病的 0.25%。
这是一项回顾性研究，旨在分析过去 32 年来医院心脏黏液瘤病例的流行病学和术中数据。研究人群为 145 例心脏外科患者，分为 4 个特定的 8 年时期。87.6%的病例位于左心房，97.2%的患者完全康复。4.1%的患者复发并接受了再次手术。
CPB 时间和 ICU 住院时间的平均值在 8 年期间增加（p < 0.001、P < 0.001、P = 0.002 和 P = 0.003）。最近的时期住院时间减少到 5 天（p < 0.001）。在过去的 8 年中，病例数显著增加到 54 例（p = 0.009）。
心脏成像的改善和更好的可及性可能促使患者更早、更安全地诊断黏液瘤，防止病情恶化。术后护理的改善也可以减少住院时间。手术切除是首选治疗方法，97.2%的患者保证生存。
