Mixoma cardíaco: experiencia de 28 años en resección quirúrgica / Cardiac myxomas. Analysis of 78 cases
Rev. méd. Chile
;
148(1): 78-82, Jan. 2020. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-1094209
ABSTRACT
Background:
The incidence rates of cardiac tumors are low.Aim:
To report the clinical presentation of cardiac myxomas and long-term evolution after resection. Material andMethods:
Review of a database of surgical patients undergoing surgical resection of a cardiac myxoma in a public hospital between 1990 and 2018.Results:
Seventy-eight patients aged 53 ± 15 years (65% females) were included. The most frequent comorbidities were arterial hypertension (40.5%), hypothyroidism (15%) and diabetes mellitus (12%). The main presenting symptoms were dyspnea (33%), neurological deficit secondary to embolism (30%) and acute pulmonary edema (5%). The most common location was the left atrium, in 87%. During surgery, cardiopulmonary bypass and aortic cross-clamp times were 50.2 ± 19.6 and 33.4 ± 15.2 min, respectively. One patient died due to severe neurological involvement. Follow-up was completed in seventy-seven patients, with a mean echocardiographic follow-up time of 10.4 ± 7.7 years. Thirty-four patients were followed for more than 10 years. Six patients (7.7%) died during the follow-up and in six patients (7%) a recurrence was identified.Conclusions:
Cardiac myxoma usually has nonspecific symptoms. Surgical excision offers excellent short and long-term results. Complications and recurrence rates are low in non-hereditary myxomas but obligates to perform echocardiographic follow-up for early diagnosis of recurrence.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Heart Neoplasms
/
Myxoma
Type of study:
Screening study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2020
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Fundación Cardiovascular Dr. Jorge Kaplan Meyer/CL
/
Hospital Gustavo Fricke/CL
/
Universidad de Valparaíso/CL
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