Surgical Excision of Intracardiac Myxoma : A 15-Year Experience

심장내 점액종의 외과적 치료;15년 임상경험

  • Song, Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Baek, Wan-Ki (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Ahn, Hyuk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Chae, Hurn (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kim, Chong-Whan (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital)
  • 송현 (서울대학교 의과대학 흉부외과학교실) ;
  • 백완기 (서울대학교 의과대학 흉부외과학교실) ;
  • 안혁 (서울대학교 의과대학 흉부외과학교실) ;
  • 채헌 (서울대학교 의과대학 흉부외과학교실) ;
  • 김종환 (서울대학교 의과대학 흉부외과학교실)
  • Published : 1992.02.01

Abstract

From April 1977 to March 1991, 44 patients have undergone excision of intracardiac myx-omas, 36 cases were located in the left atrium[81.6%], 3 cases in the right atrium[6.6%], 2 cases in the right ventricle[4.5%], 3 cases in the left ventricle[6.6%], There were 32 female and 12 male. The mean age of patients was 39.6$\pm$12.3 years[ranged 11 to 67 years]. The major preoperative symptoms included exertional dyspnea in 35[79.6%], palpitation in 23[52.3%], syncopal episodes in 9[20.4%], and signs of systemic illness; low-grade fever, weight loss, arthralgia, headache and so on. The diagnosis was made by echocardiography alone in 7[15.9%], and by combination of angiography and echocardiography in 37[84.1%]. The weight of the tumor ranged from 15 to 115gm[mean weight, 47.6$\pm$27.6gm], and the volum of the tumor was 129.1cm3[$\pm$149.0]. Follow-up time ranged from 0.6 to 9 years[mean follow-up, 65$\pm$3.22 years]. There were no early and late deaths during the follow-up period. Tumor recurred in one patient with left atrial myxoma 8 years later, who underwent successful reoperation. Postoperative complications occurred in 12 patients: episodes of sup-raventricular arrhythmia in 7, convulsion in 2, wound problem in 2, tricuspid valve regurgitation in 1, massive bleeding in 1, and intubation granuloma in one. In conclusion, surgical excision of the myxoma can be considered curative with excellent long-term result.

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