title: [Intracardiac myxoma: surgical treatment with trans-septal approach].
abstract: In the last 15 years, fifty-two cases of cardiac myxoma underwent surgical excision at La Pitié Hospital-Paris. They were 19 male and 32 female aging from 16 to 75 years (mean 15 +/- 10). Symptoms were congestive heart failure (55%), constitutional syndrome (35%), peripheral embolization (25%) and syncopal episodes (7%). Echocardiographic diagnosis was done in almost all cases. 47 tumors were found in the left atrium, 4 in the right and 1 in the right ventricule. Transeptal approach was used in most of the patients and myxomas were totally removed including a part of atrial septum, requiring patch reconstruction in 35 patients. Postoperative mortality was very low (1.9%). No complications nor recurrences have been reported in the long-term follow-up.
authors.affiliation: Service de chirurgie cardiovasculaire et thoracique, Hôpital de la Pitié, Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Miralles
authors.forename: L
authors.initials: L
authors.lastname: Bracamonte
authors.forename: G
authors.initials: G
authors.lastname: Rabago
authors.forename: A
authors.initials: A
authors.lastname: Pavie
authors.forename: V
authors.initials: V
authors.lastname: Bors
authors.forename: I
authors.initials: I
authors.lastname: Gandjbakhch
authors.forename: C
authors.initials: C
authors.lastname: Cabrol
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006338:Heart Neoplasms / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009232:Myxoma / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology
vernacular_title: Myxome intracardiaque: traitement chirurgical par la voie transeptale.