title: Over 14 years of experience with cardiac myxomas.
abstract: Atrial myxomas are the most commonly encountered tumours of the heart and can present at different ages with different clinical symptoms. They are one of the curable tumours of the heart. Appropriate surgical treatment and surgery must be performed with great precautions in order to prevent fatal systemic embolizations. In this retrospective study we will present our experience of 14 years, between 1990 and 2004, in 27 patients who had been operated for cardiac myxomas. Diagnosis of the myxomas were made by echocardiography in all cases. Surgical approach to the tumour was biatrial in nine, left atrial in II, and transseptal in seven patients. Associated procedures included coronary artery bypass grafting in one, mitral valve repair with tricuspid annuloplasty in two patients, mitral valve replacement in one and bilateral femoral embolectomy in one patient. One hospital mortality occurred as a result of multiorgan failure in a patient with peripheral embolization. None of the patients required recurrent operation, however, mitral valve insufficiency was surgically corrected in one patient.
authors.affiliation: Department of Cardiovascular Surgery, Istanbul University Medical Faculty, Istanbul, Turkey. turkant@superonline.com
authors.forename: Turkan
authors.initials: T
authors.lastname: Tansel
authors.forename: Bugra
authors.initials: B
authors.lastname: Harmandar
authors.forename: Murat
authors.initials: M
authors.lastname: Ugurlucan
authors.forename: Kemal
authors.initials: K
authors.lastname: Nisli
authors.forename: Rukiye
authors.initials: R
authors.lastname: Eker
authors.forename: Ahmet Bilge
authors.initials: AB
authors.lastname: Sozen
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ozcan
authors.forename: Semih
authors.initials: S
authors.lastname: Barlas
authors.forename: Enver
authors.initials: E
authors.lastname: Dayioglu
authors.forename: Ertan
authors.initials: E
authors.lastname: Onursal
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004452:Echocardiography; D004617:Embolism / Q000209:etiology / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology / Q000401:mortality; D009232:Myxoma / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D012189:Retrospective Studies