Actis Dato G M, De Benedictis M, Actis Dato A, Ricci A, Sommariva L, De Paulis R
Department of Cardiovascular Surgery, University G. D'Annunzio, Chieti, Italy.
J Cardiovasc Surg (Torino). 1993 Apr;34(2):141-3.
Between 1961 and 1985, 14 patients (9 males, 5 females; mean age 42.3 +/- 7.26 years) underwent surgery for excision of cardiac myxoma. Origin of the neoplasm was left atrium in all patients. In the last 7 cases diagnosis was obtained by echocardiographic examination. The clinical manifestations were dyspnea in 8 cases, palpitation in 5 and neurological symptoms in 3. One patient with concomitant mitral and aortic incompetence died on the 13th postoperative day because of low-output syndrome. All 13 operative survivors are alive and well without echocardiographic evidence of neoplastic recurrence at a follow-up ranging from 7 to 31 years. These results indicate a low incidence of recurrence with a complete tumor excision even without its extension to the normal atrial endocardium.
1961年至1985年间，14例患者（9例男性，5例女性；平均年龄42.3±7.26岁）接受了心脏黏液瘤切除术。所有患者的肿瘤均起源于左心房。最近7例通过超声心动图检查确诊。临床表现为呼吸困难8例，心悸5例，神经症状3例。1例合并二尖瓣和主动脉瓣关闭不全的患者术后第13天因低心排血量综合征死亡。13例手术幸存者均存活良好，随访7至31年，超声心动图未发现肿瘤复发迹象。这些结果表明，即使肿瘤未侵犯正常心房内膜，完整切除肿瘤后复发率也较低。
