Meyns B, Vancleemput J, Flameng W, Daenen W
Department of Cardiac Surgery, Gasthuisberg University Hospital, Leuven, Belgium.
Eur J Cardiothorac Surg. 1993;7(8):437-40. doi: 10.1016/1010-7940(93)90009-z.
Data on 32 consecutive patients undergoing resection of a cardiac myxoma over a 20-year period (1971-1991) was analyzed. The mean age of the patients was 57 +/- 11 years (range 36 to 78). All myxomas were located in the left atrium except one right ventricular tumor. Ten of the atrial resections were performed with only an endocardial cuff while a full thickness atrial septum cuff was removed in 21 cases. One patient, operated under emergency conditions, died 11 days later as a result of cardiac and pulmonary failure (hospital mortality 3.1%). Late follow-up (mean 6.4 +/- 4.4 years) shows excellent results. All patients are alive and well. No recurrences have been found. In this series, good long-term results were obtained by simple excision of cardiac myxomas. This finding supports the theory that recurrence is mainly confined to patients with familial presentation and/or myxoma complex.
分析了1971年至1991年20年间连续32例接受心脏黏液瘤切除术患者的数据。患者的平均年龄为57±11岁（范围36至78岁）。除1例右心室肿瘤外，所有黏液瘤均位于左心房。10例心房切除术仅切除心内膜袖套，21例切除全层房间隔袖套。1例患者在急诊情况下手术，术后11天因心肺功能衰竭死亡（医院死亡率3.1%）。后期随访（平均6.4±4.4年）结果良好。所有患者均存活且状况良好，未发现复发。在本系列中，通过简单切除心脏黏液瘤获得了良好的长期效果。这一发现支持了复发主要局限于有家族性表现和/或黏液瘤综合征患者的理论。
