Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Apr 19:10:1084447.
doi: 10.3389/fsurg.2023.1084447. eCollection 2023.

Operative management and outcomes in patients with myxomas: A single-center experience

Ahmed Abdulfattah Alhasso  1 , Okba F Ahmed  2 , Dana H Mohammed-Saeed  3   4   5 , Fahmi H Kakamad  3   4   6 , Saif S Almodhaffer  1 , Zaid A Zaid  1 , Hiwa O Abdullah  4   6 , Razhan K Ali  7 , Suhaib H Kakamad  6 , Diyar A Omar  6   8 , Berun A Abdalla  4   6 , Shvan H Mohammed  6 , Mohammed Q Mustafa  6   9
Affiliations

Operative management and outcomes in patients with myxomas: A single-center experience

Ahmed Abdulfattah Alhasso et al. Front Surg. .

Abstract

Background: Cardiac myxoma is a rare cardiac tumor that may be asymptomatic or can cause embolization or intracardiac obstruction, leading to heart failure, sudden cardiac death, and arrhythmia. This study aims to report an 11-year experience of a single center in the management of cardiac myxoma.

Method: This study is a single-center retrospective case series. Eighty cases of cardiac myxoma were collected in Ibn Albitar's specialized center for cardiac surgery. Transthoracic echocardiography was used to make the preoperative diagnosis in all patients. The surgeries were undertaken through the standard approach of a median sternotomy. All four cardiac chambers were thoroughly explored for additional myxomas. The major objective of the operations was complete tumor resection.

Result: The mean age of the patients was 46.3 years. Females (67.5%) were predominant over males (32.5%). Shortness of breath was the most common symptom (86.25%). The left atrium was the most affected site (83.75%), followed by the right atrium (13.75%). Coronary artery bypass grafting was required as the secondary or associated intervention in 19 (23.75%) cases. The recurrence rate was 11.25%, with a mortality rate of 3.75%.

Conclusion: Recurrence and tumor embolism are risks of surgical intervention for myxoma. Good preparation using transthoracic echocardiography as a diagnostic tool and standard median sternotomy to complete resection of the tumors can decrease the rate of recurrence, embolism, and even mortality.

Keywords: cardiac myxoma; cardiac surgery; cardiac tumor; case series; myxomas.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

    1. Choi J, de Costa A, Sabetai MM. Surgical management of a giant right atrial myxoma. J Surg Case Rep. (2018) 2018(10):rjy288. 10.1093/jscr/rjy288 - DOI - PMC - PubMed
    1. Turkyilmaz S, Kavala AA. Management of cardiac myxoma; tertiary academic center experience. Med J Bakirkoy. (2018) 14(1):98–103. 10.5350/BTDMJB.20171230024937 - DOI
    1. Ipek G, Erentug V, Bozbuga N, Polat A, Guler M, Kirali K, et al. Surgical management of cardiac myxoma. J Card Surg. (2005) 20(3):300–4. 10.1111/j.1540-8191.2005.200415.x - DOI - PubMed
    1. Kawall J, Seecheran R, Seecheran V, Persad S, Maharaj S, Seecheran NA. Medical management of a suspected atrial myxoma in a nonagenarian. SAGE Open Med Case Rep. (2020) 8:2050313X20933484. 10.1177/2050313X20933484 - DOI - PMC - PubMed
    1. MacGowan SW, Sidhu P, Aherne T, Luke D, Wood AE, Neligan MC, et al. Atrial myxoma: national incidence, diagnosis and surgical management. Ir J Med Sci. (1993) 162(6):223–6. 10.1007/BF02945200 - DOI - PubMed