ABSTRACT
Background: Cardiac tumors could be either primary [benign or malignant] or secondary. Myxomas are the most frequent benign cardiac neoplasms of the heart, usually affecting the ages between 30 and 70 years and are typically found in females
Objective: To evaluate the clinicopathological manifestations of cardiac myxomas in the Bahraini population. Design: A Retrospective Study. Setting: Mohammed Bin Khalifa Cardiac Center, BDF-RMS Hospital, Bahrain
Method: Twelve cases of cardiac myxoma patients were reviewed from 2005 to 2012. Personal characteristics and clinicopathological manifestations were documented
Results: Twelve patients with cardiac myxoma tumors were included in the study. Seven [58%] patients were females; the age range was from 44 years to 70 years and the mean range was 57.6 years. In eight [67%] patients, the tumors were found in the left-atrium, in three [25%] patients in the right-atrium and in one [8%] patient in the right-ventricle. The most common presentation was chest pain, seven [58%], followed by neurological symptoms, five [42%] and shortness of breath, four [33.5%]. Five [42%] patients had diabetes mellitus, four [33.3%] had dyslipidemia and two [17%] had hypertension
Conclusion: Myxomas were the most common benign primary cardiac tumors in our institute, mostly arising from the left-atria. Five years of follow-up revealed no recurrence. Most patients presented with extra-cardiac manifestations and surgical intervention was the treatment of choice
ABSTRACT
Modern invasive cardiology and cardiac surgery is expensive and require intensive resource undertakings. The decision to establish a new cardiac centre, encompassing many specialities must therefore be made with a clear idea of the expected cost and potential benefits expected from such services to deliver to the target population