[Surgical treatment of 22 primary cardiac myxomas].
We report surgical treatment of 22 patients with primary cardiac myxomas, including 17 left atrial (LA), 3 right atrial (RA), 1 left ventricular and 1 right ventricular myxomas. Eighteen patients manifested congestive heart failure, and an embolic episode was observed in 5 patients preoperatively. Inflammatory laboratory findings were observed in 16 patients. One case of RA myxoma was complex cardiac myxoma. A transverse biatrial approach was useful for removal of large LA myxomas and when the attachment of the tumor was unconfirmed preoperatively. There were no hospital deaths. Stroke occurred in 1 and supraventricular arrhythmia in 3 patients in the early postoperative period. There were 2 late deaths unrelated to cardiac myxomas. No signs of recurrence have been observed.
Yamamoto
K
K
Second Department of Surgery, Niigata University School of Medicine, Japan.
Hayashi
J
J
Maruyama
Y
Y
Ohzeki
H
H
Tatebe
S
S
Nakazawa
S
S
Saitoh
A
A
Namura
O
O
Eguchi
S
S
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000601:surgery*; D011183:Postoperative Complications