Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Clinical Experience of Atrial Myxoma in 15 Patients

심방 점액종의 임상적 치험 15례

  • Published : 1995.02.01
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Abstract

Fifteen patients[10 female and 5 male from 13 to 73 years of age[mean age 46 years underwent excision of atrial myxomas between 1981 and 1993 at the Chonnam University Hospital. Fourteen patients presented with exertional or resting dyspnea, six with palpitation, five with systemic embolization, and three with syncope. Symptoms were present from 1 week to 14 months before operation. Fourteen tumors originated from the atrial septum of left atrium and one of bilateral atrium. All tumors were pedunculated; tumor sizes were variable from 2x1x1cm to 7x6x5cm. No ventricular tumors identified. The myxomas were successfully removed in all patients, either by shaving them from the atrial septum[n=7 or excising a portion of normal atrial septum with the tumor and ASD patch closure[n=8 . There was no perioperative or late death in our experience. Follow-up is current and complete in all cases[range 6 months to 13 years . Thirteen patients are in New York Heart Association Class I, and the remaining two patients are in Class II. One recurrent left atrial myxoma was identified at 20 months after operation. In this series, excellent results were obtained by simple excision of the tumor, with or without a margin of normal atrial septum. Long-term clinical & echocardiographic follow-up is recommended since late recurrence, although rare, has been reported.

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References

  1. Mayo Clin Proc v.43 Echocardiographic diagnosis of left atrial myxoma Schattenberg TT.
  2. 대흉외지 v.23 심장점액종의 임상적 고찰 나국주;허선;김상형
  3. Discussion on late results of mitral commissurotomy. International Symposium on Cardiovascular Surgery Crafoord,C.;CR Lam(ed.)
  4. Am J Surg v.138 Cardiac myxomas. A Clinical diagnostic challenge O'Neil MB;Grahl TM.;Hurley EJ
  5. J. Thorac Cardiovasc Surg. v.65 Atrial myxoma in Siblings Heydorn,WH;Gamez AC;Kleid JJ;et al
  6. J Thorac Cardiovasc Surg v.83 Primary cardiac tumors.Experience with 25 cases Larrieu AJ;Jamieson WRE;Tyers GFO;et al
  7. Arch Pathol v.88 Ultrastructure of a cardiac myxoma Merkow LP;Kooros MA;Macgovern G;Hayeslip DW;Weikers NJ;Pardo M;Ficher DL
  8. Hum pathol v.4 Structural features of cardiac myxomas,Histology,history and electron microscopy Ferrans VJ;Roberts WC
  9. Pathol Annu v.14 Primary tumors of the heart and epicardium McAllister HA
  10. J Thorac Cardiovasc Surg v.58 The malignant potentiality of ieft atrail myxoma Raymond CR;Matvin LM;Doyne WD;et al
  11. Chest v.59 Atrial myxoma,Special emphasis as unusual manifestation Symbas PN;Abbott OA;Logan WD;Hatcher CR
  12. J Thoarc Cardiovasc Surg v.65 Atrial myxoma. Surgical considerations Kabbani SS;Cooley DA
  13. Ann Thorac Surg v.28 Early and late results of 11 operation and review of the literture Richardson JV;Brant B;Doty DB;et al
  14. J Cardiac Surg v.3 Consideraion in the surgical management of left atrial myxoma Diesea VJ;Collins JJ;Cohn LH
  15. Ann Thorac Surg v.49 Surgical excision of intracardiac myxomas:A 20-year follow-up Bortlolotti U;Maraglino G;Rubino M;et al
  16. 대흉외지 v.25 심장내 점액종의 임상적 치료 송현;백완기;안혁;채헌;김종환
  17. J Thorac Cardiovasc Surg v.89 The surgical treatment of atrial myxomas.Clinical experience and late results in 33 patients Hanson EC.;Gill CC;Razavi M;Loop TD